RESIDENTIAL TENANCY APPLICATION

AGREEMENT

Tenancy Agreement

OCCUPANTS

Adult Occupants

NAMES of all adult persons (age 19 or older) who will occupy the Property

Name

First Last

Name

First Last

Name

First Last

Minor Occupants

NAMES of minor occupants (under age 19)

Name

First Last

Name

First Last

Name

First Last

ADULT OCCUPANTS

INFORMATION: Each adult applicant MUST complete one application in full.

Applicants Full Name

Home Phone

Cell Phone

Work Phone

Date of Birth

Social Insurance Number

Drivers License Number

Vehicle Make

License Plate Number

Present Housing Information

Present Address

Present Landlord

Present Landlord Phone Number

Length Of Tenancy

Reason For Leaving

Previous Housing Information

Previous Address

Previous Landlord

Previous Landlord Phone Number

Previous Length of Tenancy

Reason For Leaving

Present Employer

Employer

Employer Address

Supervisor Name

Supervisor Phone

Monthly Income

Number Of Years At Job

Personal References

Personal Reference #1 Name

Personal Reference #1 Phone

Personal Reference #2 Name

Personal Reference #2 Phone

OTHER INFORMATION

Smoker

I have CONTENT and LIABILITY insurance for my home

PLEASE NOTE: Pets are only allowed upon approval.

CONSENT/COLLECTION, USE & DISCLOSURE OF PERSONAL INFORMATION

Consent/Collection, Use & Disclosure of Personal Information: I certify that the information contained in this application is true and correct. For the purpose of determining whether my application for this tenancy is acceptable, I hereby consent to the Landlord obtaining credit and other personal information about myself for all purposes consistent with the assessment of my application. I authorize the reporting agencies and other persons to disclose information on me to the Landlord or his or her agent. This consent is given pursuant to the Credit Reporting Act (RSBC 1996) Chapter 81. All personal information collected shall be kept confidential, in a secure place and shall be destroyed, erased or made anonymous when the use of the information have been fulfilled. The Landlord will not sell, rent or share any personal information with any other third parties.

Signature of Applicant (Please Type Name)

Date