RE/MAX® of Lake Cowichan
RE/MAX Lake Cowichan Box 814 Lake Cowichan, BC V0R 2G0
Phone: 250-749-6000 Mobile: 250-710-0040 Fax: 250-749-6002

Cowichan Lake rentals


Tenant Application

RE/MAX OF LAKE COWICHAN

PROPERTY MANAGEMENT
PO Box 329, 81 Cowichan Lake Rd
Lake Cowichan, BC V0R 2G0
Phone 250-749-6000
Fax 250-749-6002
Email: remaxpropmgmt@shaw.ca

 

Property address: _________________________________________________________

Date Occupancy desired:______________________________ 200__

 

APPLICANTS FULL NAME:___________________   ___________________   __________
                                    Last Name                         First Name                    Middle Name

DATE OF BIRTH: Month: _________ Day:____ Year:_____
 
Social Insurance Number: _____ _____ _____

Driver’s License# _______________________

FULL NAMES OF ALL OTHER PERSONS TO OCCUPY PREMISES:

________________________  ____________________  
Lastt Name                               First Name                    

________________________  ____________________
Last Name                               First Name                                              

TOTAL NUMBER OF ALL PERSONS IN THIS TENANCY WILL BE:__________________


PRESENT ADDRESS:

_______________________  _________________  ___________   ____________
Address                                 City                           Postal Code       Phone

_______________________  __________________________________________     
Fax Number                            E-mail              

_______________________  ____________  _____________________________
How Long                              Rent/Own         Reason for leaving

____________________________________________         __________________
Building Manager/Landlord                                                        Phone
 

PREVIOUS ADDRESS:

_______________________  _________________  ___________ 
Address                                City                           Postal Code                

_______________________  _________________   _________________________
How Long                              Rent/Own                    Reason for leaving

_______________________________________________        ________________
Building Manager/Landlord                                                          Phone
 

EMPLOYMENT:

___________________________  ________________  ______________________
Employer                                       Position                    How Long

___________________________  __________________  __________________
Address                                         Salary Range               Phone

 

PLEASE GIVE TWO PERSONAL/FAMILY REFERENCES (FOR EMERGENCY CONTACT):

_______________________          ______________________    ______________
Next of Kin                                    Address                                  Phone

_______________________          ______________________     _____________                                                 Other

 

AUTOMOBILE:

__________________   _________________    ______________      ____________ 
Make                              Model                          License#                           Color

SMOKERS:    Yes _____  No _____              PETS:  Dog(s) ___________  Cat(s) _____________

CONSENT:  For the purpose of determining whether My/Our application for tenancy is acceptable, I/We hereby consent to the landlord obtaining credit/personal information reports on Me/Us (including a spouse) from one or more consumer reporting agencies or from other sources of such information. I/We authorize the reporting agencies and other persons to disclose information on Me/Us to the landlord or landlord’s authorized agent.

 

DATED at: LAKE COWICHAN, BC this _____________day of__________________20___

___________________________________        _______________________________
Signed Adult Applicant                                         Signed Adult Applicant