RENTAL APPLICATION-Nanaimo

COLDWELL BANKER SLEGG REALTY
Property Management Division
#102 – 540 Fifth Street
Nanaimo, B.C. V9R 1P1
Telephone: 250-756-9700
Fax: 250-756-9705
TENANT RENTAL APPLICATION FORM
Date:
Phone Number: ________________
Applicants Name:
Date of Birth:
Spouse Name:
Driver’s License:
Date of Birth:
Children’s Names & Ages:
Pets & Size:
Total # of occupants:
Passport #(s):
Address applying for:
CURRENT ADDRESS:
Phone #
Email
Reason for moving:
Landlord’s name: Phone #:
Date/Length of Residency
to
Monthly rent: $
1

PREVIOUS ADDRESS:
Reason for moving:
Landlord’s name: Phone #:
Date/Length of Residency
to
Monthly rent: $
EMPLOYMENT HISTORY:
Current Employer: Phone #:
Occupation/Title:
Dates of employment:
Monthly Salary: $
Previous Employer: Phone #:
Occupation/Title:
Dates of employment:
SPOUSES EMPLOYMENT HISTORY:
Current Employer: Phone #:
Occupation/Title:
Dates of employment:
Monthly Salary: $
Previous Employer: Phone #:
Occupation/Title:
Dates of employment:
2

PERSONAL REFERENCES:
Name #1:
Phone #: Cell: email: ________________________
Name #2:
Phone #: Cell: email:
EMERGENCY CONTACTS:
Name:
Name: __
Phone number:
Phone number:
FINANCIAL INFORMATION:
Total income from all sources (per month): $
Bank and Branch:
Address: _____________________________________________________________
CREDIT INFORMATION:
Credit Card(s):
Name on card:
Number:
Name on card:
Number:
3

COLDWELL BANKER SLEGG REALTY
Property Management Division
#102 – 540 Fifth Street
Nanaimo, B.C. V9R 1P1
Telephone: 250-756-9700
Fax: 250-756-9705
AUTHORIZATION FOR CREDIT CHECK(S):
I/we warrant and confirm that the information given in the tenant application form is
true and correct and I/we understand that it is being used to determine my/our credit
responsibility and to evaluate and respond to my/our request for a rental. You are
authorized to obtain any information you may require for these purposes from other
sources (including credit bureau) and each source is hereby authorized to provide you
with such information. I/we understand that this is NOT an agreement to rent and
that all applications must be approved.
Name (Print)
Signature
SIN:
Name (Print)
Signature
SIN:
All information received and on this form will be strictly confidential and will
only be used by the Property Manager of Coldwell Banker Slegg Realty.
4