Please complete the application as clearly and as accurately as possible. 1 Start 2 Preview 3 Complete Rental property name How did you hear about the rental property? City website Newspaper ad Castanet Facebook Twitter Other PROPERTY DESCRIPTION (please copy from advertisement) Bid for above property CONTACT INFORMATIONFull name(s) of parties to be named in Residential Tenancy Agreement: Tenant 1 Full name Social Insurance Number Social Insurance Number Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002 Tenant 2 Full name Social Insurance Number Social Insurance Number Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002 Present address City Province Postal Code Home Phone Work Phone Cell Phone: Email TENANT HISTORY Current Landlord (Name & Email) Reason for Leaving Phone: Length of Tenancy Rent Paid Present address City Province Postal Code Former Landlord (Name & Email) Reason for Leaving Phone: Length of Tenancy Rent Paid: Present address City Province Postal Code Have you ever been evicted and if so, for what cause? Do you have pets? Yes No If yes, what type and how many? Pet Information Are you a smoker? Yes No EMPLOYEMENT HISTORY - IF SELF-EMPLOYED, PLEASE PROVIDE BANK REFERENCE LETTERS Tenant 1 Employed Self-employed Position Present Employer Phone: Length of Employment Employer Address City Province Postal Code Tenant 2 Employed Self-employed Position Present Employer Length of Employment Employer Address City Province Postal Code PERSONAL REFERENCESReferences must not be related to the tenant. Name: Address Address Phone: Name Address EMERGENCY CONTACT Tenant 1 Name Email: Tenant 2 Name Phone Email TENANCY REQUIREMENTS When would you require occupancy of the property? Expected Length of Tenancy? Less than 6 Months 6 Months 1 Year More than 1 Year Will you live on a busy street? Yes No Are you willing to cut the grass? Yes No Are you willing to clear sidewalk/driveway of snow? Yes No How many people will occupy the residence? Adults? Children? Comments, questions, or additional information: I/We certify the above information is true and correct. The City of Kelowna is hereby authorized to verify by means of a report from a reporting agency under the Credit Reporting Act. 1979 RSBC Chap. 78, and authorized the reporting agency to provide both credit information and personal information regarding me/us as requested by the City of Kelowna, Real Estate & Building Services Office and by contact with references. Applicant(s) agree(s) that the City of Kelowna and its employee(s) or agent(s) shall have the right to determine the suitability of any prospective tenant, and to reject my application for any reason not prohibited by law.Personal information contained on this form is collected under the Freedom of Information Protection of Privacy Act and will be used for the purpose of the rental of City-owned residential properties. Any questions regarding the collection and use of this personal information may be directed to the Manager, Real Estate & Building Services Department at 250 469-8610.
