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Victoria & Vancouver Island
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RENTAL APPLICATION

Please Fill Out & Return for Extended Stays

Your information is strictly confidential. It is only shared in-house with the appropriate parties and or with the homeowner of the property you selected if requested.

Rental Application

Tenant Information

Street Address and Apt # if Applicable
Street Address and Apt # if Applicable
Street Address and Apt # if Applicable
Employment Status *Select which applies to you

Present Employment for Employed Persons

Employers Address
Employers Address
City
State/Province
Zip/Postal

Next Of Kin/ Emergency Contact or Guarantor

Additional Documentation

Maximum upload size: 134.22MB
By signing below and submitting this form you consent to the collection, use, and disclosure of your personal information for the purpose of determining the Applicant for the leasing of the premises, or making use of the personal information as the Landlord and/or agent of the Landlord deems appropriate.

By submitting this form, The Applicant represents that all statements made above are true and correct. The Applicant authorizes the verification of the information contained in this application and information obtained from personal references. This application is not a Rental or Lease Agreement. In the event that this application is not accepted, any deposit submitted by the Applicant shall be returned.

Type in Your Name Plus this Code: 8183