Madrona Rental Application

Rental applications for Madrona at Dockside

Applicant A
First Last
Phone
Email Address*
Enter Email Confirm Email
Applicant B
First Last
Phone
Email
Enter Email Confirm Email
Other Adult Names
Children Under 18 Names
Total Number of Applications
Suite You Are Applying For
Please note: There is no smoking permitted in this building or anywhere on the premises.
Applicant A Information
Date of Birth
Date Format: MM slash DD slash YYYY
Social Insurance Number
Employer Name
Employer Address
Street Address Address Line 2 City State / Province / Region
Employer Contact Name
First Last
Employer Contact Phone
Employed Since Date
Date Format: MM slash DD slash YYYY
Annual Gross Income
Can you provide copies of T4 slips and/or pay advice slips as proof of income before signing a lease?
- Yes
- No
Upload T4 or Pay Advice Slip
Drop files here or
Current Residence Address
Street Address Address Line 2 City State / Province / Region
Landlord Name
First Last
Landlord Phone
Reason for Leaving
Current Residence Move-in Date
Date Format: MM slash DD slash YYYY
Previous Residence Address
Street Address Address Line 2 City State / Province / Region
Landlord Name
First Last
Landlord Phone
Reason for Leaving
Move-in Date
Date Format: MM slash DD slash YYYY
Move-out Date
Date Format: MM slash DD slash YYYY
Applicant B Information
Date of Birth
Date Format: MM slash DD slash YYYY
Social Insurance Number
Employer Name
Employer Address
Street Address Address Line 2 City State / Province / Region
Employer Contact Name
First Last
Employer Contact Phone
Employed Since Date
Date Format: MM slash DD slash YYYY
Annual Gross Income
Can you provide copies of T4 slips and/or pay advice slips as proof of income before signing a lease?
- Yes
- No
Upload T4 or Pay Advice Slip
Drop files here or
Is your current address the same as Applicant A?
- Yes
- No
Current Residence Address (if different)
Street Address Address Line 2 City State / Province / Region
Landlord Name
First Last
Landlord Phone
Reason for Leaving
Move-in Date
Date Format: MM slash DD slash YYYY
Previous Residence Address (if different from Applicant A)
Street Address Address Line 2 City State / Province / Region
Landlord Name
First Last
Landlord Phone
Reason for Leaving
Move-in Date
Date Format: MM slash DD slash YYYY
Move-out Date
Date Format: MM slash DD slash YYYY
Pet Information
Type
Breed
Weight
Height
License Number (if applicable)
Vehicle Information
Note: Very limited parking only available to 3 and 4 bedroom suites.
Make and Model
Color
License Plate
Bicycle Information
How Many Bicycles?
Note: There will be a bicycle registration form to be completed by all tenants. Note: There is no additional storage on site.
Consent
Consent Statement: By checking below, I grant permission to Randall North Real Estate Services Inc. and their employees to contact my employers, landlords as well as credit agencies to verify information and obtain credit history for the purpose of this application
Agree to Consent Statement*
- I agree
Name of Person Completing This Application
First Last

Madrona Rental Application

Applicant A Information

Applicant B Information

Pet Information

Vehicle Information

Bicycle Information

Consent