www.TenantsBC.
ca
Rental Application
This is an application to rent: _____________________________________________________________
Nicholas soroka oct 8th 1983
Name: __________________________________________ Date of Birth: __________________________
778 835 7097 investwithnicholas@gmail.com
Tel: ______________________________ Email: _______________________________________________
108 upper bench rd Penticton bc
Current Address: ________________________________________ City: ___________________________
november 2014
Dates of Tenancy: _______________________________________________________________________
jas johal i will ask him if it is ok to give out his #
Name of Landlord: _____________________________ Landlord Phone: ___________________________
we are not leaving
Reason for Leaving: _____________________________________________________________________
Additional Occupants:
yet to be determand
Name: _______________________________________________________ Age: _____________________
Name: _______________________________________________________ Age: _____________________
Name: _______________________________________________________ Age: _____________________
Pets: YES ✔
NO Describe: __________________________________________________
Smoking: YES ✔
NO Describe: __________________________________________________
Employment Status & Income Verification:
flooring instalation $60,000.00 to $110,000.00
Occupation: _______________________________________________ Wage: _______________________
aladdens flooring one
Company: ______________________________________________________________________________
2 monthgs
How long have you worked at this company? __________________________________________________
yes norma jean' bussiness . 250,000. to 400,000.
Other income description (eg. Disability, Income Assistance, Savings): ____________________________________
Vehicle Information:
Make: ___________________________ Model: _________________________ Year: ________________
References:
1. Name: _______________________________________ Phone: _______________________________
Relationship (previous landlord, employer): __________________________________________________
2. Name: _______________________________________ Phone: _______________________________
Relationship (previous landlord, employer): __________________________________________________
I hereby state that the information contained herein is true and I authorize my References as listed above to
release information regarding my employment and/or past/current tenancies. I also authorize a credit check to be
conducted.
04 15 2015
Signed: _______________________________________ Dated: ___________________________________