Rental Application Form

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DELANEY PROPERTIES LTD.
DELANEY PROPERTIES LTD.
DELANEY PROPERTIES LTD.
DELANEY PROPERTIES LTD.
3107 29th Avenue
RENTAL APPLICATION
RENTAL APPLICATION
RENTAL APPLICATION
RENTAL APPLICATION
Vernon, BC V1T 1Z2
250-550-2120 fax 250-549-2106
Neatly complete all information below. All applicants over the
age 18 must complete and sign their own application.
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____________________________(the residential property.) at a monthly rent of $________plus parking
fees of $________plus other fees of $________ for a total 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
Garbage/Recycling Collection
Sewage disposal
Other____________________
Date occupancy desired ____________________
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 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.
B. First Applicants Primary Information
Full Name_________________________Phone #__________________ Date of Birth__________________
Current Address__________________________________City________________Prov______PC_________
Current Landlords Name___________________________________Landlords Phone #___________________
How long at this address___________Reason for leaving___________________________________________
Previous Address______________________________City__________________Prov_______PC__________
Previous Landlords Name_______________________________________Phone #______________________
How long at this address___________Reason for leaving___________________________________________
Present Employer_____________________________Position________________Mo. Income____________
Phone #_______________How long at job____________Other income/source_________________
Cont. on back page

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