APPLICATION FOR TENANCY

Application for: Assignment Add Leaseholder Name

Building address:
Building Name:
Arbora Residential Complex - Phase 1 305 Rue de la Montagne, Montreal, QC. H3C 0R6
Registered Owner Name:
OPG Residence Québec Inc.
Unit # Type of Unit:
602 4.5
Lease Term: Rent: Parking: Storage:
Initial of the 2 parties

To Commence: 2022-12-01 $ 2,110 $ 0 $ 33

Initial of the 2 parties
To End: 2023-11-30 Spot # Locker #

Occupant Information: Occupant 1# Occupant 2# Occupant 3#

Andrea De Stefano
PARTICULARS OF APPLICANT(One Applicant Per Form)

Legal Name: (Last, First) Employer’s Name:

Chabot, Patrick Le Poke station St Eustache
S.I.N. # (Optional) Employer’s Phone Number:

514-443-2784
Date of Birth: Length of Employment:
July 17 1998 September 2021
Present Address: Job Title:
2-490 26e Av J7R 5T1 Director
City/Town: Postal Code: Gross Monthly Income: (Provide Most Current Pay Records)

Deux-Montagnes, QC J7R 5T1

$6, 300
Telephone #:
514-317-6725
Email: Previous Employer: (If Less than 1 Year employment)
pchabot918@gmail.com
Length of Stay at Present Address: Length of Previous Employment:
July 2019
Landlord’s Name: Previous Employer’s Phone Number:

Simon Lerner
Landlord’s Phone: Previous Job Title:
(514) 552-7395
Previous Address: (If less than 1 year stay) Gross Monthly Income:

Length of Stay at Previous Address: Driver’s License #:

Previous Landlord’s Name: Vehicle Model & License Plate #

Previous Landlord’s Phone: Personal Reference: (Name, Address and phone number)

Required assistance during fire evacuation? Emergency Contact: (Name, Address and phone number)
Initial of the assignee
Yes ______________________ No

I hereby certify the above information to be true, accurate and complete. I consent to and authorize Oxford Properties (or affiliates and/or it's 3rd party agents) to obtain a
credit report or other information from any credit reporting agency, credit bureau or credit grantor. Oxford Properties Group ("Oxford"), as the agent for the Owner collects
and uses the information you provide and information collected from third party credit agencies to validate your identity, assess your application for tenancy and continue to
manage the Tenant/Landlord relationship if accepted and for Skip Trace purposes. Prior to providing any personal information to Oxford, I was asked to read Oxford's
privacy policy which can be found at www.oxfordproperties.com. I acknowledge the terms of Oxford's privacy policy and consent to the collection, use and disclosure of my
personal information as provided in the privacy policy and as otherwise provided herein.
From time to time, Oxford may enter into strategic alliances with third party providers of products and services to offer these products and services to you. In order to do so,
we may provide your name and address to these third party providers. I do not wish to provide my name, address or phone number ☐
Signature of the assignee

March 13th 2023 Patrick Chabot

DATE PRINT NAME SIGNATURE