Insta Group Realty : North Shore, Vancouver Real Estate & Rentals : Rental Application

Submit Your Information Below

Property Address:

Desired Move in Date:

Total Number of People to Reside in the Unit:

A separate application is required for each adult

First Name:

Middle Name:

Last Name:

Phone Number:

Email Address:

Date of Birth:

Tenancy Information (minimum 1 previous address)

Previous Address:

City:

Province:

Postal Code:

Move In Date:

Move Out Date:

Landlord Name:

Landlord Phone:

Monthly Rent:

Reason for Leaving:

Employment Status & Income Verification

Occupation:

Company:

Employment Dates:

Employer Address:

Employer Phone:

Name of Supervisor:

Supervisor Email:

Current Wage:

Vehicle Information (if applicable)

Make:

Model:

Colour:

License:

Pet Information (if applicable)

Type of Pet:

Breed:

Colours/Markings:

Age:

Size:

References (minimum 1, friends and family members cannot be named as references)

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

Emergency Contact

Name:

Phone:

Relationship:

I/We, the applicant, declare and understand that:

1. The information provided in this application is accurate and complete.:

Yes No

2. The Landlord or the Landlord’s Agent, in compliance with legal requirements, has my/our consent to collect and disclose my personal information to conduct a credit check from credit and/or financial institutions.:

Yes No

3. The Landlord or the Landlord’s Agent, in compliance with legal requirements, has my/our consent to perform a reference check with previous landlord:

Yes No

4. The Landlord or the Landlord’s Agent, in compliance with legal requirements, has my/our consent to perform a reference check with employer:

Yes No

(Please refer to Part 6, Section 107 & 108 of the Business Practices and Consumer Protection Act [SBC 2004] c.2.

5. The Landlord or the Landlord’s Agent, in compliance with legal requirements, has my/our consent to process payments:

Yes No

6. The Landlord or the Landlord’s Agent, in compliance with legal requirements, has my/our consent to ensure orderly management of the tenancy:

Yes No

7. If this application is accepted, one half month’s rent is required immediately to secure the rental property, without which any agreement is null and void.:

Yes No

8. In the event the tenant does not move in after signing the agreement and/or lease and a security deposit has been submitted, the security deposit is non-refundable. (Please refer to Division 3, Section 24 of the Residential Tenancy Act [SBC 2002] c.78.:

Yes No

I consent to submit my personal information to Insta Group Realty for a rental property application.

Rental Application

Submit Your Information Below

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