Harbourshore Acres   
                           
Offer to Lease

POSSESSION DATE__________________________

DATE OF APPLICATION______________________

REFERRED BY: PAPER____, T.V. AD____, FRIEND____, SIGN____, Website____. OTHER______

FULL NAME___________________________________ SOCIAL INSURANCE NO.__________________

AGE______ PHONE#_______ PRESENT ADDRESS____________________________________________

HOW LONG_______________ PRESENT LANDLORD________________________ PHONE#____________

SUPERINTENDENT____________________ PHONE#___________________ PRESENT RENT _________

PREVIOUS ADDRESS____________________________________________ HOW LONG______________

PREVIOUS LANDLORD_________________ PHONE_______ SUPER__________ PHONE______________

NEXT OF KIN (name)_____________________________ RELATION___________________________ 

ADRESS_________________________________________ PHONE#_____________________________


EMPLOYMENT INFORMATION

YOUR EMPLOYER_______________________ ADDRESS_________________ LENGTH OF EMPLOY_____

YOUR OCCUPATION__________________ SUPERVISOR_________________ MONTHLY INCOME_______
                                  
                                  PHONE#    _________________

IF EMPLOYMENT IS LESS THAN ONE YEAR


PREVIOUS EMPLOYER________________ ADDRESS____________________ LENGTH OF EMPLOY______

SUPERVISOR_______________________

PRINCIPAL BANK AND ADDRESS__________________________________________________________

LIST NAMES AND AGES OF ALL PERSONS WHO HAY BE OCCUPYING UNIT

NAME___________________________________ AGE__________________

NAME___________________________________ AGE__________________

NAME___________________________________ AGE__________________

NAME___________________________________ AGE__________________


REFERENCES

1. NAME____________________ ADDRESS_________________ EMPLOYER_________ PH#__________

2. NAME____________________ ADDRESS_________________ EMPLOYER_________ PH#__________

3. NAME____________________ ADDRESS_________________ EMPLOYER_________ PH#__________


APARTMENT INFORMATION

PARKING_____ MAKE OF CAR___________________ COLOR_______________ PLATE NO.__________

APT. SIZE___ UNIT NO.______ RENT IS________ PER MONTH IN ADVANCE. SECURITY DEPOSIT 

WILL BE ___________________.

The undersigned hereby declares that all the information provided herein is to the 
best of my knowledge true, complete end correct. It is understood that the 
information provided will be fully researched. The owner reserves the right to 
reject this application and to refuse possession of the above mentioned 
accommodations. Upon executing a lease the landlord requires that the security 
deposit be paid and twelve post-dated cheques, in the amount of the rent be provided
to the landlord.


APPLICANTS SIGNATURE___________________________________ DATED_______________________


249 - 251 Windmill Road - Suite 319 - Dartmouth, Nova Scotia B3A 4P1
Phone 465-3135  Fax 465-5178