10 Buttertubs Drive Tenant Application Form

Address: 10 Buttertubs Drive, Nanaimo, BC

If you need assistance filling out your application, please consider the following local resources:

Public computers and printing available at Vancouver Island Public Library:

90 Commercial St Nanaimo, BC V9R 5G4 Phone: 250-753-1154. (10 public computers, 15–30-minute time limits, printing available)

In-person support by staff at:

Nanaimo Disability Resource Centre –
#2-4166 Departure Bay Rd, Nanaimo, BC V9T 4B7 Phone: 250-758-5547
Nanaimo Family Life Association –
1070 Townsite Rd Nanaimo, BC V9S 1M6 Phone: 250-754-3331

Please have your reference information, residency history, and co-applicant ready to sign before beginning.

Step 1 of 8

Ballenas Housing Society Agreement (Ballenas) with BC Housing:

The landlord has entered into an agreement with BC Housing designating the residential property as housing for low to moderate income households. Income testing is required and will be completed in compliance with the standards set by BC Housing.
The following Occupancy Standards will also apply to this project:
- No more than two (2) and no less than one (1) person per bedroom.

The Applicant Declares the Following:

I/We declare:

This is my application; and
I/We consent to the use of this information for the purposes of matching the housing (potentially available) within the Ballenas portfolio, with my/our needs.
All the information provided in this application is correct and complete to the best of my knowledge and belief.
I/we further state that in terms of my/our physical condition I/we can care for myself/ourselves.

I/We authorize:

Pursuant to both the Personal Information Protection Act (PIPA) and the Freedom of Information and Protection of Privacy Act (FOIPPA), I/We acknowledge to and agree with Ballenas that Ballenas is authorized to make any inquiries that are necessary to verify the information given in this application; and
Pursuant to PIPA and FOIPPA, I/We hereby consent to any person, firm, corporation or social agency or governmental department releasing to Ballenas any information requested by Ballenas pertinent to the assessment of this application by Ballenas; and
Ballenas to communicate to and receive from credit bureaus and my/our previous landlords, credit and other information about me/us, to be used by Ballenas in assessing this application for rental accommodation.

I/We understand that:

This application does not constitute any agreement on the part of Ballenas to provide me/us with rental accommodation;
Preference will be given to applicants who are current residents of Nanaimo;
10 Buttertubs Drive is a no-smoking property and a non-smoking agreement will need to be signed prior to the commencement of the tenancy;
10 Buttertubs Drive is a strata property and I/we will be required to comply in all respects with the Strata Bylaws, a copy of which I/we will receive if my/our application is approved;
It is my/our responsibility to advise Ballenas of any changes to the information given in this application and to provide any supporting materials required for my/our application; and [Note: I/we acknowledge that if I/we provide false or misleading information Ballenas shall be at liberty to deny my/our application]
Ballenas requires three (3) references to be provided with an application before it can be reviewed.

Signatures on Application - Application must be signed by all members of the household.

Please confirm how many applicants are applying(Required)

Applicant Signature:(Required)

Co-Applicant's Name

First Last

Co-Applicant's Signature:

Date Signed(Required)

AUTHORIZATION TO COMPLETE CREDIT CHECK

I/We hereby warrant that all representations set forth above are true. To verify the above statements, I/We direct those persons named as references in this application to answer all questions posed to them about me/us.
I/We hereby waive any right of action arising from or relating to any information provided by those persons named as references in connection with any information they provide about me/us.
I/We hereby agree and authorize Ballenas Housing Society (Ballenas) to perform a credit check on me/us and hereby consent to any and all credit agencies releasing credit information about me/us to Ballenas.

Applicant's Initials(Required)

Co-Applicant's Initials

Type n/a if no co-applicant is applying.

Phone

This field is for validation purposes and should be left unchanged.