I/we the undersigned, herein known as the applicant(s) hereby offer to lease the below named residential premises in B.C. from the Landlord and if accepted will provide a security deposit and enter Into a Residential Tenancy Agreement. This offer is subject to acceptance by the Landlord, Chilliwack Apartments, or their agents. If this offer is accepted and the Applicant fails to enter or proceed with the landlord’s Residential Tenancy Agreement within 72 hours, 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 as Liquidated damage.
Chilliwack Apartments, Building* ChooseBraxtonBroadway MaplesWoodbine Townhomes
Suite #*
Rent $*
Date of Possession*
Lease Term* 1 Year
Number of occupants*
Adult occupants - First & Last Name (19+)*
Minor occupants - First & Last Name (under 19)
Tenancy applications are processed based upon the information provided below. We will not process an application that is not filled out completely or is missing signatures. If there are two applicants, please ensure that both sections for applicants are fully completed. Incomplete applications will not be processed.
First Name*
Last Name*
Middle Name/Initial*
Email*
Telephone*
Drivers License #
Social Insurance # (optional)
Birth Date*
Current Address*
Building Manager Name*
How Long* Less than 1 Year1 Year2 Years3 Years4 Years5 YearsMore than 5 YearsMore than 10 YearsMonths1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months
Rent Amount*
Reason for Leaving*
Previous Address*
How Long*
Current Employer*
Address*
Position*
Monthly Income*
Contact Name*
Previous Employer
Address
Position
How Long
Monthly Income
Contact Name
Telephone
Unbiased Reference (Not Friends or Family) – First Name*
Relationship*
Personal Reference – First Name*
Please Note:
Insurance: Tenants insurance is required.
Pets: Not permitted on the premises.
Barbeques: Electric or propane only. No charcoal, wood, or butane. Fire pits and heaters are not permitted.
This offer is subject to acceptance by the Landlord or Landlords agent and is open for acceptance until 5:00 pm on the fifth (5th) business day following the date of this application. I/we have read and fully agree with all the terms and conditions of this application.
I/We hereby offer to lease the residential premises specified herein and provide the above information which I/we warrant to be true and accurate to assist in your consideration of my/our application for tenancy. I/We understand and agree that once we enter into a Tenancy Agreement, we will be required to commence a Pre-Authorized Payment service or issue a series of post-dated cheques in twelve (12) month segments for rental payments.
I/WE AGREE THAT I/WE WILL NOT SMOKE OR VAPE (INCLUDING MEDICAL MARIJUANA) IN THE SUITE OR ON THE PROPERTY. I/WE AGREE THAT I/WE WILL NOT KEEP PETS ON THE PROPERTY.
I/we have read and fully agree with all the terms and conditions of this application.
The Applicant(s) represents that all statements given herein are true and correct and hereby authorizes verification of references given. I / We hereby consent to the Landlord and/or their agents obtaining credit/personal information from one or more consumer reporting agencies or from other sources of information. I / We authorize the reporting agencies and other persons to disclose information on me/us to the Landlord or their agent. If this application is accepted, the Applicant(s) understand 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.
The Applicant(s) authorize verification of references and credit checks. I/we have read all sections of this application and understand and consent to them. *
Dated at (city)*
Dated on*
Signed by Applicant #1*
Signed by Applicant #2
ACCEPTANCE: This is a preliminary application. Upon acceptance further details may be required.
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