Re/Max Crest Realty (Vancouver Rental Properties)

A. I, the Applicant, hereby offer to rent for $ per month from the Owner c/o Remax Crest Realty. ("Landlord") the Property at: Starting on . This offer is subject to Landlord's assessment of all information provided herein and approval of such, and to a formal residential tenancy agreement to be signed upon approval. One-year fixed-term tenancy is required for most tenancies.

B. Names of all adult person (age 19 or older) who will occupy the Property. Print clearly. Name of minor occupants (under age 19). Print clearly.

C. Information: Each adult Applicant should complete one application in full. Print clearly.

Full Name:

Date of Birth:

Phone (Home):

Phone (Work):

Phone (Cell):

Driver's License:

SIN#:

Email:

Make of car:

Model, year:

Car license #:

Present address:

Present landlord:

Contact Info.:

Length of Stay:

Reason for leaving:

Previous address:

Previous landlord:

Contact Info.:

Length of Stay:

Reason for leaving:

Occupation:

Employer:

Employer's Address:

Phone:

Monthly Income:

At this job since:

Other reference name & phone:

Emergency contact name & phone:

I am:

Smoker None Smoker

Any smokers in my family?

Yes No

I have content and liability insurance for my home:

Yes No

I have pet(s):

Yes No

if yes my pets is/are:

G. AGENCY DISCLOSURE: Applicant is aware that Remax Crest Realty., the managing brokerage, acts for and on behalf of the Owner of the Property, the principal, as Landlord in the management of the Property. Remax Crest Realty. offers no agency representation to Applicant and Application is advised to seek independent legal advice before entering into any Tenancy Agreement if that is important to Applicant. However, Remax Crest Realty. owes Applicant legal ethical duty to provide accurate, honest and fair information as set out by the Real Estate Services Act and the Residential Tenancy Act.

H. CONSENT/COLLECTION, USE & DISCLOSURE OF PERSONAL INFORMATION: For the purpose of determining whether any application for this tenancy is acceptable, I hereby consent to the Landlord obtaining credit and personal information about myself for all purposes consistent with the assessment of my application. I authorize the reporting agencies and other persons to disclose information on me to the Landlord or to his or her agent. This consent is given pursuant to the Credit Reporting Act [RSBC 1996] Chapter 81. All personal information collected shall be kept confidential, in a secure place and shall be destroyed, erased or made anonymous when the use of the information have been fulfilled. Remax Crest Realty. will not sell, rent or share any personal information to any other third parties.

By checking this box I/We certify that all information provided by me/us in this application is correct.