PLEASE FAX THIS COMPLETED APPLICATION TO LINDA @ (604) 737-8303

APPLICATION FOR TENANCY

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:

 

my/our application for tenancy. My/our offer is confirmed by signature/s below

Occupancy:

 

SUITE # _______

1811 Adanac Street Vancouver, B. C. “Crestview Manor” – Linda @ 604 338-3994

APPLICANT

Surname                                                    First                                   Middle Initial

Marital

Status

Birth Date M/D/Y

Driver’s

Lic. #                                    Prov.

Social Insurance Number (Req’d)

CO-APPLICANT

Surname                                                     First                                  Middle Initial

Marital

Status

Birth Date M/D/Y

Driver’s

Lic. #                                    Prov.

Social Insurance Number (Req’d)

Vehicles

1. Year

Make

Colour

Lic. #

 

2. Year

Make

Colour

Lic. #

 

Present Address                                                Suite #                                  City                          Phone:

From:                      To:

Mo.         Yr.         Mo.        Yr.

Rent 5         Type of Residence

Own 5

Notice Req’d?

Monthly Payment

 

Landlord/Management        Phone

Reason for Leaving

Residency information for last 2 years must be provided. Complete on back if necessary.

 

Previous Address                                                Suite #                                City                         Phone:

From:                      To:

 

Rent 5           Type of Residence

Own 5

 

Monthly Payment

 

Landlord/Management        Phone

Reason for Leaving

PRESENT EMPLOYER                                                                             ADDRESS

 

From:                                   To:

Mo.               Yr.                  Mo.              Yr.    

Position:

Monthly Salary: $

Phone

PREVIOUS  EMPLOYER                                                                          ADDRESS

 

From:                                   To:

Mo.               Yr.                  Mo.              Yr.    

Position:

Monthly Salary: $

Phone

CO-APPLICANT/SPOUSE  EMPLOYER                                                 ADDRESS

 

From:                                   To:

Mo.               Yr.                  Mo.              Yr.    

Position:

Monthly Salary: $

Phone

OTHER INCOME:

OTHER OCCUPANTS

Name:                                    Age:    Relationship:

 

Name:                                    Age:    Relationship:

BANKING: Name of Bank

 

Branch

Phone

Account #

Type

Account #

Type

CREDIT OR LOAN: Name

 

Type

Account #

Type

REFERENCE and EMERGENCY CONTACT

Name:

Relationship

Phone

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.

 

Date:_________________­­____      Applicant’s Signature___________________________________

 

Date:_____________________      Applicant’s Signature___________________________________