Fillable Printable Credit Report Consent Form

Credit Report Consent Form

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Landlords name:

First Last

Prospective tenants name:

First Middle Last

Address:__________________/______________________________________________

Number Street

_________________________/_______________________/______________________

City Province Postal Code

Previous Address:________________/________________________________________

Number Street

_________________________/_______________________/______________________

City Province Postal Code

Home Phone#:_______/_________/___________

Work phone#:_______/_________/___________ Cell phone#_____/_______/________

Social Insurance number: ___________________________________________________

Date of birth: _____________________________________________________________

Day Month Year

Dated this:_____________________________________________________________________

Prospective tenant’s signature____________________________________________________

The information on this application is true and correct to the best of my knowledge.

I authorize the person to whom this application is delivered to obtain my credit report from any credit-reporting

agency and to contact my current or previous landlord and/or employer(s) to establish or verify my financial standing.

I understand that the disclosure of my SIN is optional and will only be used to verify that the credit report request is

accurately matched up with the correct data contained my credit history file. This information will be used strictly for

the purposes of verifying information pursuant to entering into or renewing a tenancy agreement. My information will

be held in the strictest confidence.