Fill and Sign the Declaration Contents Form

Federal Real Estate Lease Application Form 2150 Rue Mackay #0100 Montreal Quebec H3G 2M2 Tel | 514.933.1200 Fax | 514.937.0357 STEP 1 – Complete the form below in full. STEP 2 – Fax or mail the completed form to Federal real estate. I/We_____________________________________ hereby apply to lease suite # _________, for ___________, from the first day of _____________ to the last day of _____________ APPLICANT #1 ________________________________________ Birthday: ___________________ • SIN* (optional) ________________________ A SIN improves the accuracy and speeds up the process of obtaining a credit report for you. Present Address: ______________________ How Long: _________________ Present Landlord: _____________________ Phone: ____________________ Previous Address: _____________________ How Long: _________________ Previous Landlord: ____________________ Phone: ____________________ Occupation: ________________________ Employer: ___________________ Income: ____________________________ How Long: __________________ Address: ___________________________ Phone: _____________________ Emergency Contact: __________________ Phone: _____________________ APPLICANT # 2 ________________________________________ Birthday: ___________________ • SIN* (optional) ________________________ A SIN improves the accuracy and speeds up the process of obtaining a credit report for you. Present Address: ______________________ How Long: _________________ Present Landlord: _____________________ Phone: ____________________ Previous Address: _____________________ How Long: _________________ Previous Landlord: ____________________ Phone: ____________________ Occupation: ________________________ Employer: ___________________ Income: ____________________________ How Long: __________________ Address: ___________________________ Phone: _____________________ Emergency Contact: __________________ Phone: _____________________ Other Occupants (under the age of 18): Name : _____________________ Relationship: _________________ Name : _____________________ Relationship: _________________ I/We hereby certify that all statements made in this application are true and I/we hereby authorize Federal Real Estate to conduct a personal investigation/credit check and to contact any person identified in this Rental Application. The failure to obtain an accurate and satisfactory report may, in Federal Real Estate sole discretion, adversely affect your application. I understand and acknowledge that if the application information provided is incorrect, Federal Real Estate may at its option elect to terminate my tenancy agreement upon thirty days written notice. I/We hereby acknowledge that there are no pets allowed on these premises without written authorization from Federal Real Estate. In order for Federal Real Estate to comply with federal and/or provincial privacy legislation, I/we understand that all personal information collected from me/us may be collected, used and disclosed by Federal Real Estate for the purpose of my/our application assessment, for the purpose of debt collection, to uphold and maintain the rules and regulations of the property, to evaluate my/our tenancy, to comply with applicable law and in the ordinary course of Federal Real Estate business, including, but not limited to, any refinancing or potential sale of the property. Federal Real Estate hereby acknowledges receipt of the sum of $______________ as deposit to be considered as a rental deposit, forfeitable, in the event that the applicant does not take occupancy on the commencement date as agreed upon or fails to execute the standard lease agreement when presented for execution. Upon the applicant taking possession of the apartment, the deposit shall be deemed to be a Rental Deposit. Dated the _____ Day of the Month, ____________ Witness: _____________________ Applicant #1:________________________ Phone: ______________________ Applicant #2:________________________ Phone: ______________________ http://www.federal-realestate.com 514.933.1200