Incubator Mall - Application

Incubator Mall Rental Application Form

Name of Applicant *

First

Last

Business Name

Address *

Address Line 1

City

Province

Phone *

Email *

Social Insurance Number *

1. What is your business that you wish to operate in the incubator mall? *

2. Do you intend to operate your business primarily out of the incubator mall unit? Please explain your daily operations. *

3. How long have you been operating your business for? At home or commercial? *

4. What possession date are you looking for? *

5. Credit Check *

Click or drag files to this area to upload. You can upload up to 5 files.

Free credit check reports available online at: www.transunion.ca or www.equifax.ca

6. Employer, or source and level of income of lessee. If you are currently employed, please list your employers during the past year starting with the most recent. If unemployed currently, please list your sources of income. Please note, this information is confidential and will not be distributed.

First Reference

Employer/Source of Income

Contact Person/Information

Address of Employer

Address Line 1

City

Province

From Month/Year

To Month/Year

Monthly Income

Second Reference

Employer/Source of Income

Contact Person/Information

Address of Employer

Address Line 1

City

Province

From Month/Year

To Month/Year

Monthly Income

7. Business Plan *

Click or drag files to this area to upload. You can upload up to 5 files.

Business Plan templates can be found online at: www.bdc.ca or www.cfmanitoba.ca

8. Please provide character references below. If you have never rented before, please list the names of three persons (non-relatives) who are personally knowledgeable of your suitability and reliability as a prospective tenant.

Reference Name 1 *

Reference Address 1

Address Line 1

City

Province

Reference Phone 1

Reference Name 2 *

Reference Address 2

Address Line 1

City

Province

Reference Phone 2

9. Please list the names of all persons and contact information of who will be occupying the unit with you (if applicable).

10. Name of person to contact in case of an emergency:

Name *

Address *

Address Line 1

City

Province

Phone *

Conditions *

I/We hereby declare that the foregoing information is true and complete. I/We understand that any false information may result in the refusal of my/our application. I/We hereby consent to a credit check and personal investigation.