OWNER INFORMATION FORM

Company Name (if the property is owned by a corporation)*

If your property is not owned under a holding company type N/A.

Name*

First NameLast Name

Cell Phone*

Format: (000) 000-0000.

Email*

example@example.com

Full Mailing Address (including city, province, and postal code)*

Enter the address of the property you are currently residing at, in case we have to mail you important information.

Rental Property Address (including city, province, and postal code)*

Enter the address of the property you are interested in renting.

Non-Resident Tax (N/A for Tenant Placement)

Non-resident tax withholding is required by Canada Revenue Agency (CRA) on all gross rental income.

YESNO

A representative of our brokerage, Century 21 Elevate Real Estate, will contact you to gather the additional information required for annual preparation of the NR4 Tax Slip as required by CRA. (An NR4 statement is similar to a T4 except it is a statement of rental income for a non-resident that is required to be included in your tax filing.

I, {name}, owner of {rentalProperty}, agree to pay an annual fee of $200 for the completion of NR4 Tax Slip.

Upload a copy of your ID*

File types accepted pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif

Owner signature*