Rental Application. Unit Number / Unit Type GENERAL INFORMATION * First Name Last Name Date of Birth * MM DD YYYY SIN Number Email Address * Phone * (###) ### #### CURRENT RESIDENCE Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Currently Renting or Owning? Renting Owning How Long? Monthly Payment or Rent Reason for moving? EMPLOYMENT INFORMATION Current Employer Employer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Employer Phone (###) ### #### Hourly or Salary Hourly Salary Annual Income EMERGENCY CONTACT INFORMATION The emergency contact will be included on the Lease. It is ideal if the emergency contact is local, but this is not required. The emergency contact should be a person not residing with you. Name of Emergency Contact First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Relationship Phone (###) ### #### Email CO-APPLICANT INFORMATION Name First Name Last Name Date of Birth MM DD YYYY SIN Number Email Phone (###) ### #### CO-APPLICANT CURRENT RESIDENCE Address Address 1 Address 2 City State/Province Zip/Postal Code Country Currently Renting or Owning? Renting Owning Monthly Payment or Rent How Long? Co-Applicant Employment Information Employer Name Employer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Position Hourly or Salary? Hourly Salary OTHER OCCUPANTS Other Occupants are adults or children who will occupancy the premises. Only those tenants who are named on the lease and other occupants named below are allowed to live in the premises without written consent of the landlord. Occupant 1 Name First Name Last Name Occupant 1 Date of Birth MM DD YYYY Oppupant 2 Name First Name Last Name Occupant 2 Date of Birth MM DD YYYY Pets VEHICLE INFORMATION Make / Model / Year Year Plate Number REFERENCES (Previous Landlords) Landlord Name First Name Last Name Landlord Address Address 1 Address 2 City State/Province Zip/Postal Code Country Landlord Phone (###) ### #### CONFIRMATION AND APPROVAL * Confirmation and Approval * I (we) hereby apply for tenancy and consent to a credit report. By submitted the application I (we) authorize Capitol Suites to make enquiries of third parties in order to obtain information relevant in this application. Upon management approval the required security deposit will be non-refundable and the unit will be deemed to be rented as per the Residential Tenancy Act of Nova Scotia until such time a formal lease agreement has been signed by both parties. In the event of a non-accepted application the deposit shall be returned in full with no obligation to either party. I Agree Bell Aliant * I (we) hereby give permission to ENQORE or my agent to provide my/our contact information to Bell Aliant so that I/we may receive electronic and/or telemarketing messages/calls regarding one or more of Bell Aliant’s communications products/services and incentives and potential discounts available to the Tenants. I agree Signature * By writing my name(s) in the box(es) below, I (we) understand that we have read and agreed to the rental application in its entirety and that this takes the place of my signature which is legally binding. First Name Last Name First Name Last Name Thank you!
