BURK Management Rental Application

Rental Application

SUBMIT this form, or download the PDF version here. If you have any questions, email us at info@burkmanagement.com
Please Note: One Application per Adult (18 and over), is required

The information provided on this form is collected under the authority of the Personal Information Protection Act, part 2, section 3(11) and will be used to determine and verify eligibility for rental accommodation and acceptance as a Tenant. If you have any questions, email us at info@burkmanagement.com
Full Name *

First Name Last Name
Property Applying For
E-mail
Cell Number *

Area Code Phone Number
HOME Number *

Area Code Phone Number
Emergency Contact *

First Name Last Name
Emergency Contact Number *

Area Code Phone Number
Birth Date *

Month Day Year
Social Insurance Number *

Final Submit
Terms
I hereby certify that all statements made in this application are true and I hereby authorize Burk Management and Realty Inc. to conduct a personal investigation/credit check and to contact any person identified in this Rental Application. The failure to obtain an accurate and satisfactory credit report may, in the sole discretion of Burk Management and Realty Inc., adversely affect my application. I hereby acknowledge that there are no pets allowed on these premises without written authorization from Burk Management and Realty Inc. In order for Burk Management and Realty Inc., to comply with federal and/or provincial privacy legislation, I understand that all personal information collected from me may be collected, used and disclosed by Burk Management & Realty Inc. for the purpose of my application assessment and debt collection, to comply with applicable law. I hereby acknowledge that by checking the box below, I fully understand and agree to the terms ad conditions stated by Burk Management & Realty Inc. and give our permission to perform and adhere to the stated disclosure. *

I Agree
Signature

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Rental Application