Potential renter signature - Pre-rental reference form


Reference number : #[esigcf7 formid="6415" field_id="numero-formulaire" ]

Name of owner investigating you : [esigcf7 formid="6415" field_id="your-future-proprio-name"]
Email of owner investigating you : [esigcf7 formid="6415" field_id="your-proprietaire-courriel"]


First name : [esigcf7 formid="6415" field_id="your-first-name"]

Last name : [esigcf7 formid="6415" field_id="your-name"] 

Address of the potential tenant:
[esigcf7 formid="6415" field_id="your-locataire-adresse"]
[esigcf7 formid="6415" field_id="your-locataire-ville"]
[esigcf7 formid="6415" field_id="your-locataire-province"]
[esigcf7 formid="6415" field_id="your-locataire-zipcode"]

Date of birth of the potential tenant:
[esigcf7 formid="6415" field_id="date-naissance-locataire"]

Telephone number of the potential tenant:
[esigcf7 formid="6415" field_id="your-locataire-phone-number"]

Nombre d'occupants des lieux?
Adulte(s) [esigcf7 formid="6415" field_id="menu-adulte"]
Enfant(s) [esigcf7 formid="6415" field_id="menu-enfants"]

PART C :

Name of the current owner: [esigcf7 formid="6415" field_id="your-proprio-name"]

Telephone number: [esigcf7 formid="6415" field_id="your-proprio-number"]

How long have you lived at this address? [esigcf7 formid="6415" field_id="your-date-adresse"]

Other phone number: [esigcf7 formid="6415" field_id="your-proprio-number-deux"]

Are you related to the current owner? [esigcf7 formid="6415" field_id="enquete-parente-proprio"]

Lease in your name: [esigcf7 formid="6415" field_id="bail-a-votre-nom"]

Amount of rent: [esigcf7 formid="6415" field_id="montant-loyer"]

Lease expiry date: [esigcf7 formid="6415" field_id="your-fin-bail-date"]

PART D :

Previous address: [esigcf7 formid="6415" field_id="your-anterieur-adresse"]

Name of previous owner: [esigcf7 formid="6415" field_id="your-proprio-anterieur-name"]

Telephone number: [esigcf7 formid="6415" field_id="your-proprio-anterieur-number"]

Are you related to the previous owner? [esigcf7 formid="6415" field_id="enquete-parente-proprio-anterieur"]

Lease at your name: [esigcf7 formid="6415" field_id="bail-a-votre-nom-2"]

The potential tenant authorizes Oligny & Thibodeau Investigation Services Inc. and the owner identified above to obtain all necessary information from his financial
institution, credit bureaus or other sources in order to establish his solvency. He also authorizes to check his criminal record and to communicate any information
about his credit experience to all lenders, credit bureaus and any other service provider, for the duration of the contract with the owner identified above. He solemnly affirms,
in accordance with the provisions of the Evidence Act, that all of the information identified in this form is true, including his address and date
of birth. I understand that any false declaration is subject to judicial sanctions. The tenant will be able to consult and correct the obtained report if necessary. 

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Potential renter signature - Pre-rental reference form
lock iconUnique Document ID: 22515a54a7507f64cc7ce2647cfeb264dad2913b
Timestamp Audit
3 July 2019 17 h 52 min ESTPotential renter signature - Pre-rental reference form créé par Oligny et Thibodeau - signature@oligny-thibodeau.com IP 45.73.112.109
20 April 2020 21 h 22 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 45.73.103.53
23 April 2020 20 h 59 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 45.73.103.53
23 April 2020 20 h 59 min ESTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 45.73.103.53
9 July 2020 10 h 37 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
9 July 2020 10 h 37 min ESTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
1 October 2020 14 h 11 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
1 October 2020 14 h 11 min ESTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
1 October 2020 14 h 38 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
1 October 2020 14 h 38 min ESTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
1 October 2020 14 h 43 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
1 October 2020 14 h 43 min ESTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 66.130.210.9
20 May 2021 11 h 00 min ESTOligny Thibodeau - signature@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 45.73.112.109
20 May 2021 11 h 00 min ESTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 45.73.112.109