Tenant Application

I, the undersigned, herein also known as the applicant, hereby offer to rent residential premises in British Columbia, known as:

  1. Suite No.
    Building Address
    I further agree that when this offer is accepted by Queenswood Property Management LTD., it becomes a binding agreement. $20 late fee if applicable.
  2. Date occupancy desired at a monthly rate of $
    Plus parking $ - Total $
    Landlord or Landlord's Authorized Agent Queenswood Property Management Ltd., 2558 Sinclair Road, Victoria, BC V8N 1B6 and if accepted, will enter into a Residential Tenancy Agreement. This offer is subject to acceptance by the Landlord or Landlord's Authorized Agent and is open for acceptance for FIVE business days, ending at 6 p.m. following the date herein. If the applicant fails to enter info, or proceed with the Residential Tenancy agreement after the offer is accepted, the applicant may be held liable for payment of the equivalent of the month's rent to the Landlord. If applicant is accepted, a security deposit of $ will be required immediately. It is agreed that rent is payable promptly in advance by the first day of every month.
  3. APPLICANT'S FULL LEGAL NAME:

    DATE OF BIRTH:

  4. PRESENT ADDRESS


  5. PREVIOUS ADDRESS


  6. NUMBER OF ALL PERSONS (ADULTS & MINORS)

    Full names of all OTHER ADULT persons (age 19 or older) to occupy the premises are:
    1. 2. 3.

    Full names of all MINOR tenants (under age 19, including infants). Include full names of each and every minor to occupy the premises and their ages
    1.
    2.
    3.
    4.

  7. MONTHLY INCOME:

  8. IF SOCIAL SERVICES:

  11. PLEASE GIVE ONE CREDIT CARD REFERENCE AND ACCOUNT NUMBER
  12. PLEASE GIVE TWO EMERGENCY CONTACTS



  13. AUTOMOBILE:
    IF YES:
  14. NOTE: Cats, dogs, snakes, noisy birds, fur bearing animals and certain other pets, barbeques and waterbeds are not allowed without written permission of the Landlord or Landlord's Authorized Agent. See clauses in the Residential Tenancy Agreement on these subjects.
    PETS:
  16. CONSENT FOR THE PURPOSE OF DETERMINING WHETHER MY APPLICATION FOR TENANCY IS ACCEPTABLE, I HEREBY CONSENT TO THE LANDLORD OBTAINING CREDIT/PERSONAL INFORMATION REPORTS ON ME (INCLUDING A SPOUSE) FROM ONE OR MORE CONSUMER REPORTING AGENCIES OR FROM OTHER SOURCES OF SUCH INFORMATION. I AUTHORIZE THE REPORTING AGENCIES AND OTHER PERSONS TO DISCLOSE INFORMATION ON ME TO THE LANDLORD OR LANDLORD'S AUTHORIZED AGENT.
    I accept:

    Please give the form a moment to send. Don't click submit multiple times - if the little icon is spinning, it means it's sending.

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