Rental Application Form


Your New Home

Fill out our online form and we'll get you on your way.

Your Information

Address Information

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

Work Information

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.