Prospective Tenant Questionnaire The applicant(s) acknowledges that the Agent is acting for the Owner of this property in connection with this Real Estate Transaction and that all duties performed shall be for and on behalf of the Owner. By submitting this online application form, I am confirming I have been presented, read, and understood the Disclosure of Representation in Trading Services form and the Disclosure of Risks to Unrepresented Parties form.Number of Tenants*12Contact Email* First Tenant Primary InformationFirst Tenant's Name* First Middle Last Home/Cell No.*Work No.*Birthday (MM/DD/YY)*S.I.N.Second Tenant Primary InformationSecond Tenant's Name* First Middle Last Home/Cell No.*Work No.*Birthday (MM/DD/YY)*S.I.N.General InformationTotal number of people that will occupy the premises:*Residence Desired*Rate $Present Residence*Agent/Owner of Residence*Phone number for reference*Have you given notice?*NoYesHow long have you lived at the present address?*First Tenant Employment InformationFirst tenant's employer*Immediate supervisor's name (for reference)*Phone number*How long employed?*Salary $*Second Tenant Employment InformationSecond tenant's employer*Immediate supervisor's name (for reference)*Phone number*How long employed?*Salary $*General QuestionsHave either of you ever presented a NSF cheque?*NoYesIf so, how many in the past year?*Are you prepared to issue post-dated cheques for your rent?*YesNoDo you own any pets?*NoYesWhat kind of pet?*Would you be willing to pay a pet deposit?*YesNoEvidence of insurance coverage is a term of our lease. Do you currently have tenant's insurance or will you be willing to have such insurance in place?*YesNoThird ChoiceAre you prepared to maintain the yard and garden? (if applicable)*YesNoDo any of the persons that will be occupying the rented premises smoke?*NoYesDate you would like to occupy the premises?*Captcha and DisclaimerCAPTCHAI (We) verify that all of the above information is correct and permit a credit check to be done and/or permit you to contact any of my (our) references, employers or creditors. This consent is given pursuant to section 12 of the personal credit-reporting Act, R.S.B.C. 1979. I understand that all tenancies unless otherwise agreed are for a minimum of one year. ONCE THIS APPLICATION IS APPROVED A SECURITY DEPOSIT OF ONE HALF OF THE FIRST MONTH'S RENT WILL BE DUE IMMEDIATELY. This iframe contains the logic required to handle Ajax powered Gravity Forms.