Full Name as shown on Driver's License (required)

Date of Birth (required)

Driver's License Number (required)

Social Insurance Number

Email ID (required)

Phone (required)

Current Address | Landlord's Name | Landlord's Phone | Number Years

Current Employer | Occupation | Employer's Phone | Number Years

Previous Employer | Occupation | Employer's Phone | Number Years

Spouse's Name as shown on Driver's License

Spouse's Date of Birth

Spouse's Social Insurance Number

Spouse's Employer | Occupation | Employer's Phone | Number Years

Vehicle 1 Year | Make | Model | Colour | Plate

Vehicle 2 Year | Make | Model | Colour | Plate

Personal Reference1 Name | Phone | Address (at least one reference is required)

Personal Reference2 Name | Phone | Address

Personal Reference3 Name | Phone | Address

In Case of Emergency please call: Name | Phone | Address

How many adults and children will occupy the unit? (required)
12345

Please list all occupants

Please list all pets if applicable: Name | Breed | Size | Colour | Sex

Any Other Information

Have you ever been evicted as a tenant?
YesNo

Tenancy will be denied if you misrepresent any information on the application. If misrepresentation is found after the rental agreement is signed, your rental agreement will be terminated. This is to advise that I, hereby authorize FOUR GREEN PROPERTIES INC., for Comer Hill Estates Mobile Home Park in Williams Lake (or their representative) to obtain a consumer credit report, a criminal record search, an eviction search and to make any other inquiries as deemed necessary in determining eligibility for tenancy and assessing credit worthiness. I understand that the information set out in the rental application form may be used for purposes of responding to emergencies, ensuring the orderly management of the tenancy, complying with legal requirements and for collection purposes should rent be left owing or rental property damaged at termination of lease or end of tenancy.