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