WIDSTEN PROPERTY MANAGEMENT INC.

APPLICATION TO RENT

*PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED!

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 pets __________If the applicant has pets please describe:

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

NAME: ___________________  ________________  ____________________    DATE OF BIRTH: ___________

                            First                                 Middle                                       Last

PHONE: _____________________________   CELL: _________________________

NAME ALL OTHER ADULT OCCUPANTS: _______________________________________________________

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NAME ALL OTHER MINOR OCCUPANTS (AGES) ________________________________________________

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(1) PRESENT LANDLORD: _____________________________________PHONE:________________________

CURRENT ADDRESS: ____________________________________CITY______________POSTAL__________

HOW LONG? ________CURRENT RENT/MORTGAGE $__________

DRIVERS LICENCE #________________                     SOCIAL INSURANCE #_____________________________

EMPLOYER: __________________________CONTACT PERSON: ____________________________________

HOW LONG: ________ SALARY RANGE _____________JOB: _______________PHONE:_________________

*PLEASE NOTE: IF SELF EMPLOYED BE PREPARED TO SHOW A NOTICE OF ASSESSMENT OR PROOF OF INCOME.

TYPE OF VEHICLE: _________________LICENCE #:___________OTHER VEHICLE____________________

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 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.

APPLICANT SIGNATURE ___________________________________DATE:_____________

Please return completed application to THE AGENT:  Widsten Property Management Inc., at

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