PLEASE FAX THIS COMPLETED APPLICATION TO LINDA @ (604) 737-8303 |
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APPLICATION FOR TENANCY |
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I/we hereby offer to lease the residential premises specified herein and provide the following information which I/we warrant to be true to assist in your consideration of |
Date Application: |
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my/our application for tenancy. My/our offer is confirmed by signature/s below |
Occupancy: |
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SUITE # _______ |
1811 Adanac Street Vancouver, B. C. “Crestview Manor” – Linda @ 604 338-3994 |
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APPLICANT Surname First Middle Initial |
Marital Status |
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Birth Date M/D/Y |
Driver’s Lic. # Prov. |
Social Insurance Number (Req’d) |
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CO-APPLICANT Surname First Middle Initial |
Marital Status |
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Birth Date M/D/Y |
Driver’s Lic. # Prov. |
Social Insurance Number (Req’d) |
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Vehicles |
1. Year |
Make |
Colour |
Lic. # |
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2. Year |
Make |
Colour |
Lic. # |
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Present Address Suite # City Phone: |
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From: To: Mo. Yr. Mo. Yr. |
Rent 5 Type of Residence Own 5 |
Notice Req’d? |
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Monthly Payment
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Landlord/Management Phone |
Reason for Leaving |
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Residency information for last 2 years must be provided. Complete on back if necessary.
Previous Address Suite # City Phone: |
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From: To:
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Rent 5 Type of Residence Own 5 |
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Monthly Payment
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Landlord/Management Phone |
Reason for Leaving |
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PRESENT EMPLOYER ADDRESS
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From: To: Mo. Yr. Mo. Yr. |
Position: Monthly Salary: $ |
Phone |
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PREVIOUS EMPLOYER ADDRESS
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From: To: Mo. Yr. Mo. Yr. |
Position: Monthly Salary: $ |
Phone |
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CO-APPLICANT/SPOUSE EMPLOYER ADDRESS
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From: To: Mo. Yr. Mo. Yr. |
Position: Monthly Salary: $ |
Phone |
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OTHER INCOME: |
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OTHER OCCUPANTS Name: Age: Relationship: |
Name: Age: Relationship: |
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BANKING: Name of Bank
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Branch |
Phone |
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Account # |
Type |
Account # |
Type |
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CREDIT OR LOAN: Name
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Type |
Account # |
Type |
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REFERENCE and EMERGENCY CONTACT Name: |
Relationship |
Phone |
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For the purposes of the Credit Reporting Act and any other applicable laws that are or may come into force, I/we hereby give my/our written consent to 1811 Adanac Street Ltd. and it agents obtaining report/s from any reporting agency/ies concerning me/us and further to make inquiries and receive and give such information to its servants or agents as it shall deem reasonable. |
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Date:_____________________ Applicant’s Signature___________________________________
Date:_____________________ Applicant’s Signature___________________________________ |
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