Desired Move in Date: Property you are applying for: Number of Main Occupant(s): 1234 Number of Additional Occupant(s): 012345
Legal First Name: Middle: Legal Last Name:
Contact Number: Email address: Date of Birth: Status in Canada: ResidentWork VisaStudent Visa
Current Home Address: City: Postal Code: I currently RentOwn
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Name: Contact #: Relationship:
This is to advise that I authorize the person or firm to whom my application has been submitted to obtain a consumer credit report and to make any other inquiries as deemed necessary in determining eligibility for tenancy and assessing credit worthiness.
112 -828 Harbourside Dr North Vancouver, BC V7P 3R9