PROPERTY AND STRATA MANAGEMENT
9129-96 A Street
Fort St John BC V1J 6X6
Phone: 250-787-7177
Fax: 250-787-7141
reception@actionproperty.ca
APPLICATION
T O
R ENT
F ORM
Please
c omplete
o ne
a pplication
f or
e ach
p erson
n ot
r elated
b y
m arriage
You
w ill
b e
r equired
t o
s how
t wo
p ieces
o f
i dentification.
Date
p remises
r equired:
_ _____________
P remises
A pplied
f or:
_ ___________________________________
Rental
R ate:
_ __________
S ecurity
D eposit:
_ ___________________
C ontact
P hone
#
_ ________________
Number
o f
a dults
t o
o ccupy
r ental
u nit:
_ ______
N umber
o f
c hildren
u nder
1 8
t o
o ccupy
r ental
u nit:
_ _______
Please
l ist
a ll
o ccupants:
_ __________________________________________________________________
Number
o f
p ets:
_ _________
T ype
o f
p ets:
_ ____________________________________________________
1. Personal
I nformation
Last
N ame:
_ __________________
F irst
N ame:
_ __________________
M iddle
N ame:
_ ________________
Date
o f
B irth
( y/m/d):
_ ____
/
_ ____
/
_ ____
Social
I nsurance
N umber:
_ __
_ __
_ __
-‐
_ __
_ __
_ __
-‐
_ __
_ __
_ __
Driver’s
L icense
# :
_ ______________________
P rovince:
_ __________
V alid
–
Y es:
_ _____
N o:
_ _______
2.
R ental
H istory
Current
A ddress:
( number/street)
_ ______________________________________
C ity:
_ _________________
Province:
_ ___
P ostal
C ode:
_ ______
P hone:
( _____)-‐_____-‐______
How
l ong
r esiding
a t
t his
a ddress:
_ ________
R ent
A mount:
_ ______
Reason
f or
L eaving:
_ _________________________________________________________________________
Landlord’s
N ame:
_ ___________________________Landlord’s
P hone:
( ________)-‐________-‐________
Previous
A ddress:
( if
a bove
l ess
t han
3
y ears)
_ _________________________________
C ity:
_ ________________
Province:
_ ___
P ostal
C ode:
_ ______
P hone:
( _____)-‐_____-‐_____
How
l ong
r esiding
a t
t his
a ddress:
_ ________
R ent
A mount:
_ ______
Reason
f or
L eaving:
_ _________________________________________________________________________
Landlord’s
N ame:
_ ___________________________Landlord’s
P hone:
( ________)-‐________-‐________