Rental Application - TenantsBC.ca

1 This is an Application to rent: _____ Name: _____ Date of Birth: _____ Tel: _____ Email: _____ Current Address: _____ City: _____ Dates of Tenancy: _____ Name of Landlord: _____ Landlord Phone: _____ Reason for Leaving: _____ Additional Occupants: Name: _____ Age: _____ Name: _____ Age: _____ Name: _____ Age: _____ Pets: YES NO Describe: _____ Smoking: YES NO Describe: _____ Employment Status & Income Verification: Occupation: _____ Wage: _____ Company: _____ How long have you worked at this company? _____ Other income description (eg. Disability, Income Assistance, Savings): _____ Vehicle Information: Make: _____ Model: _____ Year: _____ References: 1. Name: _____ Phone: _____ Relationship (previous landlord, employer): _____ 2.

2 Name: _____ Phone: _____ Relationship (previous landlord, employer): _____ I hereby state that the information contained herein is true and I authorize my References as listed above to release information regarding my employment and/or past/current tenancies. I also authorize a credit check to be conducted. Signed: _____ Dated: _____ Rental Application