Apply for a pre-rental survey

Step 1 of 5

Address of the property for rent

Address of the accommodation & unit number*

Appartement*

Desired date*

Monthly rent

Number of occupants*

Adults*

Children*

Name of the representative who did the visit

Do you have pets?

Cat

Dog

*Must be under 15 pounds.

Tenant information

Name*

First Name*

S.I.N.

Birth date*

Driver's license

Current address*

Address City ZIP / Postal Code

Cellphone*

Monthly rent*

Phone

Email address*

References

Current owner*

Phone*

Extension

Employer

Company*

Contact person*

Address

Phone*

Job*

Annual salary*

Additional information

Have you ever gone bankrupt?*

Yes

Is it an assignment of lease?*

Yes

Do you have a record at the housing authority?*

Yes

To complete your application please upload your ID (ex: driver's license, health insurance card…).*

Max. file size: 5 MB.

Approval*

I hereby authorize you and your agent to get personal information regarding my creditworthiness or financial situation with the institutions or organizations concerned during and if necessary after the rental period.

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