* Required fields
Address* : Address Côte-des-Neiges 2970, avenue Van Horne 2990, avenue Linton 5324, Place Lucy Snowdon 5324, Place Lucy
Apartment:
Lease term: months, commencing 1st january february march april may june july august september october november december 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 expiring Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month january february march april may june july august september october november december 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034
Rent: $ /month
First Name*:
Family Name*:
Address*:
Town*:
Postal Code*:
Tel*:
E-mail*:
Social Insurance:
Date of Birth*:
Medicare #: Driver's Permit #:
Car Model/year: License Plate #:
Current Landlord*:
Current rent*: $
Apartment size*:
Number of years*:
Previous Address:
Landlord’s name: Tel:
Apartment size: Number of years:
Employer's name:
Address: Tel:
Number of years: Annual Salary:
Occupation:
Name of Bank: Tel:
Name of Bank:
Account #: Other account #:
Name: Relation:
Address:
Tel:
CREDIT INFORMATION AUTHORIZATION
In order to allow the Property owner to consider the rental application, you are hereby authorizing the collection of any credit information or other personal information deemed necessary to conclude or execute the said rental application. For that purpose, any person(s), more specifically personal information agents, credit agencies, bank, etc. having such information are authorized to supply such data to the Property Owner or to its representatives prior, during, or if necessary, following the term of the lease.
You recognize having been properly informed of the credit inquiry that the Property owner and/or its representatives will conduct, and the purpose served by the collection of such information. You also recognize the seriousness and legitimacy of this objective, and accept it as necessary for the conclusion and fulfillment of the present lease application.
This application in no way constitutes an acceptance on the part of the Landlord and or manager to rent to said applicant. Furthermore, said rental is conditional upon, but not limited to, the Landlord being satisfied in its sole and absolute discretion with the credit report.
Read and Accepted by*
Date*