* required
Dwelling to rent
Applicants
(YYYY-MM-DD)
(YYYY-MM-DD)
Yes / No
Yes / No

The following information that you provide will help avoid any confusion about your identity and your credit file. If not included, this would not constitute grounds for refusal.

Other Proposed Occupants
Current Address
from:
to:
from:
to:
($/month)
($/month)
heated
electricty
heated
electricty
Previous Address
(months)
(months)
from:
to:
from:
to:
($/month)
($/month)
heated
electricty
heated
electricty
Employer #1
($/year)
or rate ($/hour)
($/year)
or rate ($/hour)
Employer #2
($/year)
or rate ($/hour)
($/year)
or rate ($/hour)
Finalize Application

I certify that the information provided is truthful and complete, and I have not in any way distorted, falsified, or omitted facts that could invalidate this form or influence the landlord’s decision. I understand that making a false statement may result in the lease cancellation and may constitute fraud under the Criminal Code. I hereby authorize the landlord and his/her representatives to obtain or exchange my personal information with any personal information agents, financial institutions, employers, landlords, or other institutions, as well as the above-mentioned institutions and persons in order to establish my financial capacity and my ability to meet my lease obligations. I hereby authorize CORPIQ, as a personal information agent, to collect and communicate to the landlord or his/her representatives any personal information that it may have about me in accordance with a prior consent. My consent to the collection and communication of my personal information is valid for 14 calendar days as of the date of my signing the Rental Application. If a lease is signed, my consent remains valid for three years following the termination of this lease, but only to recover arrears on rent or, in compliance with a court ruling, to collect any other lease-related debt.

The potential tenant (or endorser) must produce valid personal ID with photo.

Potential tenant / Endorser
Potential tenant / Endorser