APPLICATION FORM



Please do not send in an application without first speaking to one of our leasing agents via email or phone.


A credit check is required for each adult as part of the application process.


If the application for tenancy is accepted by the Landlord, I will enter into a Residential Tenancy Agreement, which I will have an opportunity to review before signing. If my application for tenancy is not accepted by the Landlord the deposit will be refunded to me. If I fail to proceed with the signing of the Residential Tenancy Agreement after the application is accepted and approved, or if I withdraw my offer before the Landlord accepted my offer, I agree that the deposit shall be retained by the landlord. Once I sign the Residential Tenancy Agreement, the deposit will be applied towards my Security Deposit.


A pet deposit is required to be paid for tenants who have a cat.


Application form will not send through without every required field (*) being filled out


Unit Number Applying For*

Rent Amount*

When looking to move in*

Full names of all OTHER ADULT persons (19 or older) to occupy the premises

Full names and ages of all MINOR persons to occupy the premises (18 or younger)

Total number of tenants will be *


PETS, BARBEQUES AND WATERBEDS ARE NOT ALLOWED WITHOUT WRITTEN PERMISSION OF THE LANDLORD OR LANDLORD’S AUTHORIZED AGENT.


Applicant's Full Name*

Phone*

Email*

S.I.N.*
Date of Birth (year/month/day)*



Present Address* (INCLUDE CITY AND POSTAL CODE)

How long have you lived there?*

Landlord's Name*
Year you moved in*

Phone*
Do you rent or own?*

Reason for leaving*



Previous Address* (INCLUDE CITY AND POSTAL CODE)

How long have you lived there?*

Landlord's Name*
Year you moved in*

Phone*
Did you rent or own?*

Reason for leaving*



Current Employer*

Address (including city)*

Position*

Phone*
How long?*

Year Hired?*
Salary Range*
Name of Supervisor*



Previous Employer*
Name of Supervisor*
Address (including city)*
Phone*
How long?*



PLEASE GIVE TWO PERSONAL/FAMILY REFERENCES (FOR EMERGENCY CONTACT)

Name*

Name*
Address*

Address*
Phone*

Phone*

Vehicle Information

Vehicle Year/Make/Model

Does your vehicle have an alarm?
Colour
Plate #

Please list any other vehicles, boats, trailers etc that you currently own


Insurance
Do you presently insure your personal belongings and third party liability?* Yes No 


Pets
Do you presently have any pets? Please keep in mind dogs are prohibited on the property. *Yes No 
If yes, what do you have?



Does anyone within the household smoke? *Yes No 


CONSENT: FOR THE PURPOSE OF DETERMINING WHETHER MY / OUR APPLICATION FOR TENANCY IS ACCEPTABLE, I/WE HEREBY CONSENT TO THE LANDLORD OBTAINING CREDIT/PERSONAL INFORMATION REPORTS ON ME/US (INCLUDING A SPOUSE) FROM ONE OF MORE CONSUMER REPORTING AGENCIES OR FROM OTHER SOURCES OF SUCH INFORMATION. I/WE AUTHORIZE THE REPORTING AGENCIES AND OTHER PERSONS TO DISCLOSE INFORMATION ON ME/US TO THE LANDLORD OR THE LANDLORD’S AUTHORIZED AGENT. *Yes 


 

 

3250 Rock City Road
Nanaimo, BC V9T 4R2