Residential Rental Appliction – Revelstoke Property Group – Coldwell Banker Horizon Realty

Download Residential Rental Application

Or fill out the form below and submit to Revelstoke Property Group.

Residential Rental Application
Location applying for
Attention to
Desired property features
Price Range you want to spend
Tenant Information
Your Name(required)
Email(valid email required)
Drivers License Number
Date of birth
Address
City
Province
Postal Code
Home phone number
Cell phone number
Fax number
Present Employer
Supervisor's Name
Address
Work phone number
Gross monthly salary
Additional income (specify source)
Previous Employer
Supervisor's Name
Address
Previous work phone number
Rental Information
Give the following information on the last two places of residence
Address
City
Province
Postal code
Landlord name
Landlord phone number
Length of tenacy
Reason for Leaving
Address
City
Province
Postal code
Landlord name
Landlord phone number
Length of tenacy
Reason for leaving
Full names of all individuals (including children who will be occupying the premises)
Will you be having pets? (Age/Neutered/Type)
Do you smoke?
Are up a student?
Have you ever been convicted of a crime?
Have you ever been evicted, sued for nonpayment of rent, or breached a lease (if so explain)?
References
(The following should not be related to you in any way)
Name
Phone
Relationship
Name
Phone
Relationship
Name
Phone
Relationship
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I certify that the above information is true and complete. I authorize the verification of this information through checking the above references. I also authorize Coldwell Banker Horizon Realty to obtain a credit through their business affiliiate Mortgage Alliance Homeline Mortgage for purposes related to this application.

Check this box to acknowledge authorization.

Date(required)

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