Desired Move in Date: Property you are applying for: Number of Main Occupant(s): 1234 Number of Additional Occupant(s): 012345
Legal First Name: Middle: Legal Last Name:
Contact Number: Email address: Date of Birth: Status in Canada: ResidentWork VisaStudent Visa
Current Home Address: City: Postal Code: I currently RentOwn
Name: Year of Birth:
Pets: NoYes
Name: Contact #: Relationship:
This is to advise that I authorize the person or firm to whom my application has been submitted to obtain a consumer credit report and to make any other inquiries as deemed necessary in determining eligibility for tenancy and assessing credit worthiness.