REALTY EXECUTIVES MID ISLAND PROPERTY MANAGEMENT

APPLICATION TO RENT

I the undersigned am applying to rent at:

Address: ___________________________________ Monthly rent $__________

Date occupancy desired: ________________ Term of lease: Six (6) Month or Twelve (12) month lease.

Note: Certain properties will require no less than a Twelve month lease. We do not offer month-to-month tenancies.

Unless otherwise specified in the tenancy agreements there are no pets and no smoking. In the event a pet is accepted a pet deposit of one half of one month rent will be payable in addition to the one half month security deposit.  I own a pet or pet’s __________If the applicant has pets please describe:

____________________________________________________________________________________________

Do you intend to obtain tenant insurance on this property?       Yes         No

NAME:________________________________________PHONE:_____________________CELL ____________

NAME ALL OTHER ADULT OCCUPANTS: ______________________________________________________

____________________________________________________________________________________________

NAME ALL OTHER MINOR OCCUPANTS (AGES)________________________________________________

____________________________________________________________________________________________

(1) PRESENT LANDLORD:______________________________________PHONE:_______________________

CURRENTADDRESS:_______________________________________CITY______________POSTAL________

HOW LONG?____________CURRENT RENT $_____________SOCIAL INSURANCE # __________________ 

DATE OF BIRTH:________________________ DRIVERS LICENCE #__________________________________

EMPLOYER:___________________________CONTACT PERSON:____________________________________

HOW LONG:_________ SALARY RANGE _____________JOB: _______________PHONE:________________

TYPE OF VEHICLE:___________________________________________________LICENCE #:_____________

SECOND VEHICLE/VESSELS/ETC:______________________________________________________________

ONLY VEHICLES ON THIS APPLICATION WILL BE PERMITTED ON THE PREMISES UNLESS OTHERWISE AGREED IN WRITING

(2) PREVIOUS LANDLORD:____________________________________PHONE:________________________

PREVIOUS ADDRESS:__________________________________CITY________________POSTAL___________

HOW LONG?____________ RENT $_____________ 

GIVE TWO NAMES OF NEXT OF KIN, DOCTOR OR OTHER PERSON FOR EMERGENCY CONTACT

NAME_____________________________RELATIONSHIP_______________________PHONE______________

NAME_____________________________RELATIONSHIP_______________________PHONE______________

CONSENT: FOR THE PURPOSES OF  DETERMINING WHETHER THIS APPLICATION FOR TENANCY IS ACCEPTABLE, THE APPLICANT CONSENTS TO THE LANDLORD OBTAINING CREDIT, PERSONAL AND EMPLOYMENT INFORMATION ON THE APPLICANT FROM ONE OR MORE CONSUMER REPORING 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 REVELANT 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.

APPLICANT SIGNATURE ___________________________________DATE:_____________

Please return completed application to THE AGENT:  Realty Executives Mid Island Property Management, at

503 Comox Road, Nanaimo, B.C., or by fax to: 753-8290. Contact phone number 753-8200

ONE APPLICATION PER ADULT OCCUPANT REQUIRED

APPLICATION PROCESS 3-5 BUSINESS DAYS