Statement of Qualification and Questionnaire

All information is subject to verification and will be kept confidential.

Please supply a photocopy of government-issued ID clearly showing a photograph of your face. In addition to the photocopy, please present the actual ID to myself or my property manager.

Please supply a copy of your last paycheck stub.

Please supply the contact information for your previous landlord and the address where you rented. Email is preferred. If that cannot be provided, please provide personal references.




Social Insurance Number:
Date of Birth:
Where do you live now?
How long were you there?
Reason for moving:
Where do you work?
For how long?
What is your gross (before tax) salary?
Do you agree to allow Shandy Brown to collect a Credit Report?
Please sign here in agreement:
     Yes       No