Rental Application Form


Your New Home

Fill out our online form and you'll be in your new home in no time.

Important Instructions

Make sure all information provided for credit/reference check are true and accurate or may delay processing. All mandatory fields must be filled, put N/A if it doesn't apply. We will not process your application before you view the property unless it is agreed by the property manager.

Your Information

Current Address Information

Mark NA if it Doesn't Apply (Canadian or USA Addresses Only)

If living at current address is less than 2 years, please provide previous home address.

Work Information

Emergency Contact

Other Information

Move In Date & Property


I/We certify that the above information is true and correct. Century 21 In Town Realty shall have the right to determine the suitability of any prospective tenant, and to reject my application for any reason not prohibited by law. Century 21 In Town Realty may share applicant’s personal information with a prospective Landlord. Permission is also granted by the applicant to the Agent/Landlord to call all names/phone numbers as provided above. Personal information shall not be shared with any other person or entity. Consent for credit check: I/We hereby authorize Century 21 In Town Realty to obtain such credit reports or other information as may be deemed necessary in connection with the establishment and maintenance of a credit account or of any other direct business requirements. This consent is given pursuant to section 12 of the Personal Information Reporting Act, S.B.C. , 1973.