Application to Rent

APPLICATION TO RENT Scan and email back to LANDLORD'S REFERENCE AND INFORMATION SHEET [email protected] www.beyondblackboard.ca/YaletownPark

Application date: Date premises required: Address of premises to be rented: 1306 - 928 Homer Street

Rent: $1550.00/mo Number of adults to occupy residence :

Number of children under 18 : NIL Pets to occupy apartment: NIL

Applicant's full name: Age : Applicant's present residence: Tel: Email: Social Insurance Number: Date of Birth: Average Salary or Annual Income ::

Partner’s full name: Current Employer: Employed since: Occupation Tel: Average Salary or Annual Income:

Work References Occupation:

Current employer:

Employer Reference Name: Tel: Employed since: Average Annual Income :

Former Employer (if less than 3 years): From to Tel:

Credit references: (Utility company or Bank – include account numbers) 1. Acc’t: 2. Acc’t:

Other References: 1. Current landlord’s name: Tel: 2. Personal reference name: Tel :

I hereby authorize the person or firm to whom this application is submitted to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or for any other direct business requirement.

This consent is given pursuant to chapter 78, section 12, of the Credit Reporting Act, R.S.B.C. 1979.

Signature Date