Peer Property Management Ltd.

* Required fields.

Building *

Suite No. *

1. Purpose

The completion of this form is requested by the Management Company to record the Tenants / Residents of the building. The informaton assists management to identify the residents; to identify the responsible parties; to verify the assigned parking, locker and locker facilities; and whom to contact for emergencies and notices. If the information changes in future, your advice to management of the change will be appreciated.

2. Tenant Record

Name(s) of Legal Tenant(s) *

3. Other Occupants (If Applicable)

Name Relationship

4. E-mail Address

If you wish to receive information and notices by e-mail.

5. Vehicle Record (If applicable.)

License Plate

Make

Model

Year

Parking Space #

6. Locker No. (If applicable.)

7. Emergency Contact

#1 * #2 *

Name

Relationship

Telephone

8. Disabled Persons

The Fire Code dictates that a record be kept of all the persons requiring assistance in case of emergency. Will any occupant of your suite need special assistance in an emergency? *
No Yes

Name of Disabled Person

Nature of Disability

9. Other

Please give details of any other information that you think would be helpful.

Date * Signature *

� 2002 - 2003 Peer Property Management Ltd.