D. APPLICANT'S STATEMENTS
I/We do not own any pets I/We own a pet or pets If owned, describe pet(s) _____________________________________________________
I/We are non smokers I/We are smokers
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 credit, personal and employment information on the Applicant from one or more consumer reporting
agencies and from other sources of such information. The Applicant authorizes the reporting agencies and any other person, including personnel from any
government ministry or agency, to disclose relevant information about the Applicant to the Landlord. If this application is accepted, the Applicant understands
that the above information will also be used and disclosed 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.
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. 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
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
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 the equivalent of up to one month's rent 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.
