Potential renter signature - Pre-rental reference form


Reference number : #

Name of owner investigating you :
Email of owner investigating you :


First name :

Last name :  

Address of the potential tenant:



Date of birth of the potential tenant:

Telephone number of the potential tenant:


Nombre d'occupants des lieux?
Adulte(s)
Enfant(s)

PART C :

Name of the current owner:

Telephone number:

How long have you lived at this address?

Other phone number:

Are you related to the current owner?

Lease in your name:

Amount of rent:

Lease expiry date:

PART D :

Previous address:

Name of previous owner:

Telephone number:

Are you related to the previous owner?

Lease at your name:

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:

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Certificat de signature
Nom du document : Potential renter signature - Pre-rental reference form
lock iconID unique du document : 22515a54a7507f64cc7ce2647cfeb264dad2913b
Date et heure Audit
3 July 2019 17 h 52 min EDTPotential 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny 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 EDTOligny Thibodeau - info@oligny-thibodeau.com ajoutés par Oligny et Thibodeau - signature@oligny-thibodeau.com en tant que Ip destinataire CC : 45.73.112.109
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