Credit Application - PersonalPlease enable JavaScript in your browser to complete this form.Personal InformationLegal Name *FirstLastDate of BirthSocial Insurance NumberEmail *Phone *Present addressMonthly rentLength of stayPresent landlordIf you are the owner, please provide a propety tax notice or other document as proof of ownership.Contact infoPhone # | emailPrevious addressMonthly rentLength of StayReason for leavingPrevious landlordContact infoPhone # | EmailEmploymentEmployerEmployer addressEmployer phone#Employer websiteOccupationMonthly incomeAt this job sinceSupervisor's NameSupervisor's Phone #Personal / Business References1st Reference's Name1st Reference's Phone #Relationship to applicant2nd Reference's name2nd Reference's Phone #Relationship to applicantPeronal Assets / LiabilitiesPlease provide brief financial information, such as cash on hand, stock, RRSP, property ownership, .etc.Upload your ID Click or drag files to this area to upload. You can upload up to 3 files. ID: driver's licence, PR Card or passport. Upload other supporting documents Click or drag files to this area to upload. You can upload up to 10 files. Any documents can descript your status of your finance, credit. Such as, bank statements, credit report, reference letter, property tax notice.etc. Additional InformationPlease input your resume, additional info or comments if there are any.AGENCY DISCLOSURE: Applicant is aware that Luxmore Realty, the Brokerage, acts for and on behalf of the Owner of the Property, the principal, as Landlord in the management of the Property. Luxmore Realty offers no agency representation to Applicant and Applicant is advised to seek independent legal advice before entering into any contract if that is important to Applicant. However, Luxmore Realty owes Applicant legal and ethical duty to provide accurate, honest and fair information as set out by the Real Estate Services Act and the RTA. CONSENT/ COLLECTION, USE & DISCLOSURE OF PERSONAL INFORMATION: For the purpose of determining whether my application is acceptable, I hereby consent to the Landlord obtaining credit and personal information about myself for all purposes consistent with the assessment of my application. I authorize the reporting agencies and other persons to disclose information on me to the Landlord or to his or her agent. This consent is given pursuant to the Business Practices And Consumer Protection Act [SBC 2004] Chapter 2 Part 6 . All personal information collected shall be kept confidential, in a secure place and shall be destroyed, erased or made anonymous when the use of the informat ion have been fulfilled. Luxmore Realty will not sell, rent or share any personal information to any other third parties. Further, the Landlord is hereby authorized to comply with various reporting agencies' requirements for rental history data reporting. For more information, please check with Equifax, TransUnioin, TVS, and/or RentCheck Credit Bureau. Signature *Clear SignatureSubmit