Name
Birthdate
Phone Number
Cell Number
SIN (optional)
Email Address
Marital Status
Single
Married
Common-Law
Other
Address Detail
Pressent Address
City
Province
Country
Postal Code
Current Landlord Detail
Present Landlord
Landlord Phone #
Present Rate
Years at Address
Previous Landlord Details
Landlord
Landlord Phone #
Years at Address
Employment Detail
Present Employer
Occupation
Employer Address
Years Employed
Monthly Income
Employer Phone #
Spouse/Roommate (Complete if Residence Shared)
Name
Birthdate
Phone
Cell
SIN (Optional)
Address
City
Province
Country
Postal Code
Present Landlord
Landlord Phone
Present Employer
Occupation
Employers Address
Years Employed
Employers Phone
Income per Month
Additional Occupant Information
Name (Intended Occupant 1)
Age (Intended Occupant 1)
Relationship (Intended Occupant 1)
Name (Intended Occupant 2)
Age (Intended Occupant 2)
Relationship (Intended Occupant 2)
Name (Intended Occupant 3)
Age (Intended Occupant 3)
Relationship (Intended Occupant 3)
Name (Intended Occupant 4)
Age (Intended Occupant 4)
Relationship (Intended Occupant 4)
Character Reference
Reference Name
Reference Occupation
Reference Phone #
Emergency Contact
Contact Name
Contact Occupation
Contact Phone #
Authorization for Reference and/or Credit Checks
Authorization Name 1
Authorization Signature 1
Authorization Name 2
Authorization Signature 2
I authorize Creative Rental Solutions to contact the above references and/or perform credit checks
I authorize Creative Rental Solutions to contact the above references and/or perform credit checks
Submit