Please enable JavaScript in your browser to complete this form.Rental Property AddressMain 2558 Marine Drive, West Vancouver, BC V7V 1L4Suite 2558 Marine Drive, West Vancouver, BC V7V 1l4509 – 160 Third Street West, North Vancouver, BC V7M 0A9507 – 1632 Lionsgate Lane, North Vancouver, BC V7P 0E2601 – 1632 Lionsgate Lane, North Vancouver, BC V7P 0E2201 – 131 Third Street East, North Vancouver, BC V7L 0E3205 – 131 Third Street East, North Vancouver, BC V7L 0E3702 – 131 Third Street East, North Vancouver, BC V7L 0E3Full Legal Name Spouse #1 *Full Legal Name Spouse #2 *Full Legal Name Child #1 *Full Legal Name Child #2 *Full Legal Name Child #3 *Phone Number *Email Address *EmailConfirm EmailCurrent Home Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeIranAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and 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SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryAre you a Canadian citizen or Permanent Resident? (Please choose one) *Please Click and Choose OneYesNoAre you a Newcomer? (Please choose one) *Please Click and Choose OneYesNoHave you EITHER lived in B.C. for at least a year immediately before your completion date OR filed at least 2 income tax returns as a B.C. resident in the last 6 taxation years immediately before your completion date? (Please choose one) *Please Click and Choose OneYesNoAre you a Canadian resident (ie. do you file/pay income tax in Canada?) (Please choose one) *Please Click and Choose OneYesNoOccupation of Spouse #1 *Salary of Spouse #1 *Occupation of Spouse #2 *Salary of Spouse #2 *Current Landlord contact *Employer of spouse #1 phone number *Employer of spouse #2 phone number *How did you hear about us?Please Click and Choose OneRealtorMortgage Broker/BankSocial MediaInternet SearchFriendOtherIf other, please specifyClient identification and verification: Please upload TWO pieces of government-issued ID. One must be a picture ID. You must upload both FRONT and BACK. * Click or drag files to this area to upload. You can upload up to 10 files. GDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry.Signature – I understand that Pax Law represents the Landlord and I have been advised to seek independent legal advise with respect to renting the above-selected unit. * Clear Signature Submit