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Rental Application
Rental Application
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Full name
*
Age
Driving license or Passport No.
Phone number
*
Email address
*
Current address
*
Current rent
*
Address of premise to be rented
*
2505-823 Carnarvon Street, New Westminster
930 Dennison Avenue, Coquitlam
Unit 8-3450 Coast Meridian Road, Port Coquitlam Port Coquitlam
Basement 1612 Parkway Blvd. Coquitlam
Basement 296 Leroy Street, Coquitlam
Unit 1101-7358 Edmonds Street, Burnaby
Unit 43-20831 70 Avenue, Langley
1101-15165 Thrift Avenue, White Rock White Rock
6280 Azure Road, Richmond
Main and Upper, 12032 Chestnut Crescent, Pitt Meadows Pitt Meadows
Basement 1- 5439 Gilpin Street
Date required
*
Adults
*
0
1
2
3
4
5
6
7
8
9
10
Children
*
0
1
2
3
4
5
6
7
8
9
10
Under 18
Ages of Children
Pets
*
Yes
No
Employer
*
Occupation
*
Annual income
*
Employed since
*
Phone number
Former employer
Phone number
Period
to
Spouse full name
Phone number
Employed by
Annual income
Credit reference
1.
2.
List bank, credit union, charge accounts, or other credit references.
Personal references
*
1.
Phone
2.
Phone
Landlords or employers
Referred to landlord by
I hereby authorize the person or firm to whom this application is submitted to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or for any other direct business requirement. This consent is given pursuant to chapter 78, section 12, of the Credit Reporting Act, R.S.B.C. 1979
Submit Application
