Street Address

City, State, Zip

Phone Number

Your Custom Text Here

Lease Application

This is an application to lease a studio at 245 East Georgia Street, Vancouver. Applications can be completed using this online form or downloaded as a pdf here, printed scanned and emailed to albertblock@cjadholdings.ca.

Studio number (if known)

Your details

Name

First Name

Last Name

Phone

(###)

###

####

Email address

Current address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start date of current tenancy

YYYY

Name of current landlord

First Name

Last Name

Contact for current landlord

Additional occupant

First Name

Last Name

Date of birth (additional occupant)

YYYY

Employment status and income verification

Occupation

Company

Duration of employment

Any other income (benefits etc.)

Bicycle information

Make / Model / Year

References

Reference 1 name

First Name

Last Name

Reference 1 phone

(###)

###

####

Reference 2 name

First Name

Last Name

Reference 2 phone

(###)

###

####

Introduction

Please include a short bio, or any additional information you'd like to include regarding your application

Confirmation

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.

I agree