APPLICATION FOR TENANCY
INSTRUCTIONS
1. Landlord must complete all of Section A (Offer to Rent).
2. Full legal names of all Applicants are required.
3. For credit reporting or other reference purposes, the two pages of this Application for Tenancy
can be separated.
. If the pages are separated, the Landlord should enter the Applicant's name(s) and date of
application on the second page.
NOTE TO APPLICANTS:
Do not sign this Application for Tenancy unless:
Ø You have read agree with all the information provided by the Landlord in Section A.
Ø All the information you have provided is true and correct.
NOTES TO LANDLORDS:
Ø Do ensure the Applicant(s) sign this Application, giving you consent to do credit and
reference checks.
Ø Do not sign this Application for Tenancy unless and until you decide to accept the
Applicant(s) as your new tenant(s).
© LandlordBC 2015.
This application form is for the exclusive use of members of LandlordBC or its affiliated organizations. Any unauthorized reproduction or use is prohibited.
D. APPLICANT'S STATEMENTS
I/We do not own any pets I/We own a pet or pets If owned, describe pet(s) _____________________________________________________
NOTE: Landlord's are not responsible for tenants' possessions. If accepted, you must carry tenants' insurance covering your possessions and protecting you against liability.
I/We presently insure our belongings and for third party liability Yes No
APPLICATION FOR TENANCY
E. CONSENT The Applicant consents to the Landlord obtaining personal, rental history, and employment information about the Applicant from references named in
sections H and I of this application and authorizes those references to release such information to the Landlord. The Applicant also consents to the Landlord
obtaining credit reporting information, including a credit report, about the Applicant to the Landlord, and authorizes any credit reporting agency to release such
information to the Landlord. The purpose of collecting this information is to allow the Landlord to assess and to consider the Applicant’s qualifications to rent the
property. If this application is accepted by the Landlord and if the Applicant and the Landlord enter into a tenancy agreement, the Applicant also consents and
authorizes the Landlord, on a continuing basis after the tenancy has started, to continue to collect personal information from the abovementioned references and
credit reporting agencies, and to use and disclose that information solely for responding to emergencies, ensuring the orderly management of the tenancy and
complying with legal requirements.
F. APPLICANT'S SIGNATURES NOTE: Do not sign this application unless Section A is complete and you have read it.
I/We certify that all information provided by me/us in this Application is true and correct.
_______________________________________________________ ______________________________ _______________________________________________________ ______________________________
Applicant's Signature Date Signed Co-Applicant's Signature Date Signed
G. LANDLORD'S ACCEPTANCE NOTE: Do not sign this form unless and until you decide to accept the Applicant(s) as your tenant(s).
The above Applicant(s) is/are accepted for tenancy, commencing ______________________________.
_______________________________________________________ ______________________________
Landlord's Signature Date Signed
THE LANDLORD OR LANDLORD'S AUTHORIZED AGENT (called the “Landlord”) MUST COMPLETE ALL BLANKS IN THIS SECTION
A. OFFER TO RENT I/We, the undersigned (called the “Applicant”), offer to rent a rental unit in British Columbia known as:
Suite no. Building Address
at a monthly rent of $ plus parking fees of $ plus other fees of $ for a total monthly cost of $
The above rent includes only the utilities checked below. Payment for all other utilities is the tenant's responsibility.
Heat Water Supply Hot Water Electricity Cablevision Gas to Fireplace Waste Collection
Other
DATE OCCUPANCY DESIRED
LANDLORD'S NAME LANDLORD'S ADDRESS
LANDLORD'S PHONE NO.
This is an offer to rent. The Applicant agrees that if this offer is accepted, it becomes a binding agreement and the Applicant will subsequently sign the
Landlord's Residential Tenancy Agreement that the Applicant has had an opportunity to examine and of which a copy is attached to this application. The
Applicant acknowledges that pets, barbecues, waterbeds and aquariums are not allowed without advance written permission of the Landlord. The Tenancy
Agreement will include these specific terms:
Sewage Disposal
C. CO-APPLICANT'S PRIMARY INFORMATION (Complete only where different from First Applicant.)
Last Name First Name Middle Name
Date of Birth(Optional)
Month / Day / Year
Social Insurance Number * (optional)
Present Address City Postal Code (Mandatory) Primary Phone No.
Previous Address City Postal Code (Mandatory)
Rent Own How Long? Reason for Leaving Current Rent
$
Rent Own How Long? Reason for Leaving Current Rent
$
B. FIRST APPLICANT'S PRIMARY INFORMATION
Last Name First Name Middle Name
Date of Birth (optional)
Month / Day / Year
Social Insurance Number * (optional)
Present Address City Postal Code (Mandatory) Primary Phone No.
Previous Address City Postal Code (Mandatory)
Rent Own How Long? Reason for Leaving Current Rent
$
Rent Own How Long? Reason for Leaving Current Rent
$
If this offer is accepted and the Applicant fails to sign the Landlord's Residential Tenancy Agreement, or to take possession of the rental unit, the Applicant will
be liable for the payment of any lost rental revenue to the Landlord and any related expenses incurred by the Landlord.
If this offer is accepted, the Applicant will pay a Security Deposit of $
to the Landlord. If the Landlord permits the Applicant to have a pet, an
additional Pet Damage Deposit of $
will be paid to the Landlord. The Landlord will hold the Deposit(s) until the tenancy ends.
This offer is subject to acceptance by the Landlord and is open for acceptance until 5:00 pm on
. If not accepted by that time, this offer is void.
Offer to Rent (Tenancy Agreement Attached) Standard Application (Tenancy Agreement Not Attached)
NOTE TO LANDLORD: If pages one and two are separated, enter the Applicant's name(s) and date of application below
First Applicant: _______________________________________________ Co-Applicant: ______________________________________________
Date of Application: _____________________________________
Secondary Phone No. Cell No. Fax No. Work Phone No.
H. FIRST APPLICANT'S SUPPLEMENTARY INFORMATION
Email Address: Photo ID Shown Yes No
Present Landlord/Building Manager's Name Address Phone No.
Previous Landlord/Building Manager's Name Address Phone No.
Employer Position Monthly Income
Supervisor's Name Supervisor's Phone No. Length of employment
Previous Employer Position Monthly Income
Previous Supervisor's Name Previous Supervisor's Phone No. Length of employment
Secondary Phone No. Cell No. Fax No. Work Phone No.
Email Address: Photo ID Shown Yes No
Present Landlord/Building Manager's Name Address Phone No.
Previous Landlord/Building Manager's Name Address Phone No.
Employer Position Monthly Income
Supervisor's Name Supervisor's Phone No. Length of employment
Previous Employer Position Monthly Income
Previous Supervisor's Name Previous Supervisor's Phone No. Length of employment
I. CO-APPLICANT'S SUPPLEMENTARY INFORMATION (Complete only where different from First Applicant)
J. OTHER ADULT OCCUPANTS - Full names of all other adult persons (age 19 or older) to occupy this rental unit
Last Name First Name Middle Name Last Name First Name Middle Name
Last Name First Name Middle Name Last Name First Name Middle Name
K. OTHER MINOR OCCUPANTS - Full names of all other persons under age 19 (including infants) to occupy this rental unit
Last Name First Name Middle Name Last Name First Name Middle Name
Last Name First Name Middle Name Last Name First Name Middle Name
NOTES TO APPLICANT(S)
1. Social Insurance Numbers are requested for the sole purpose of obtaining credit reports.
2. The information you provided on this pages continues as part of your Application for tenancy. Your signature on the 1st page confirms all information
on both pages is true and correct.
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