Reference number : #[esigcf7 formid="18671" field_id="numero-formulaire" ]

Name of owner investigating you : [esigcf7 formid="18671" field_id="your-future-proprio-name"]
Email of owner investigating you : [esigcf7 formid="18671" field_id="your-proprietaire-courriel"]

First name : [esigcf7 formid="18671" field_id="your-first-name"]

Last name : [esigcf7 formid="18671" field_id="your-name"] 

Address of the potential tenant:
[esigcf7 formid="18671" field_id="your-locataire-adresse"]
[esigcf7 formid="18671" field_id="your-locataire-ville"]
[esigcf7 formid="18671" field_id="your-locataire-province"]
[esigcf7 formid="18671" field_id="your-locataire-zipcode"]

Date of birth of the potential tenant:
[esigcf7 formid="18671" field_id="date-naissance-locataire"]

Telephone number of the potential tenant:
[esigcf7 formid="18671" field_id="your-locataire-phone-number"]

Number of occupants of the premises?
adult(s): [esigcf7 formid="18671" field_id="menu-adulte"] 
children(s): [esigcf7 formid="18671" field_id="menu-enfants"]  

PART C :

Previous address: [esigcf7 formid="18671" field_id="your-anterieur-adresse"]

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.