Watermill Ridge
                    30 Fairfax Drive Halifax NS, B3M 1R7
                                

Jim Murwin
Phone: (902) 443-2606
Fax: (902) 457-0212

RENTAL APPLICATION  
                                                  
Building & Apt. # ___________________                      
Monthly Rent      ___________________
Possession Date   ___________________

PERSONAL INFORMATION   
                
Name in Full____________________________________ SIN#_______________________________
               
Date of Birth___________________ Home Phone______________ Work Phone________________

Name of Co-Applicant____________________________ SIN#_______________________________
               
Date of Birth ___________________ Home Phone______________ Work Phone_______________


RENTAL HISTORY/REFERENCES   

Present Address_____________________________ Reason for Leaving ____________________

How long there?_______________________ Landlord's Name _____________________________

Landlord's Address _________________________ Landlord's Telephone __________________

Previous Address_____________________________ Reason for Leaving ___________________

How long there?_______________________ Landlord's Name _____________________________

Landlord's Address _________________________ Landlord's Telephone __________________


OCCUPANTS 
List below the names and ages of ALL persons who will occupy theis apartment.
        Name in Full                                   Date of Birth
1. _________________________________________________________________________________

2. _________________________________________________________________________________

3. _________________________________________________________________________________


SOURCE OF INCOME 

Occupation _____________________________ Present Annual Income _____________________ 

Name of Employer _______________________ Telephone ___________ How Long There? _____

Previous Employer ______________________ Telephone ___________ How Long There? _____

Co-applicant

Occupation _____________________________ Present Annual Income _____________________ 

Name of Employer _______________________ Telephone ___________ How Long There? _____


CREDIT INFORMATION

Name of Bank ___________________________ Branch ______________ Account No.__________

Credit Cards/Charge Accounts (list min. of two) ____________________________________

Monthly payments/liabilities _______________________________________________________


PERSONAL REFERENCES
List below two personal references, along with their address, telephone no. and 
occupation:

   Name                   Address              Telephone           Occupation
1. ________________________________________________________________________________

2. ________________________________________________________________________________


VEHICLE INFORMATION:

                 Master License #        License Plate #       Car Make and Year
Applicant    _____________________________________________________________________

Co-Applicant _____________________________________________________________________


Emergency: Incase of emergency, please notify:

   Name                   Address              Telephone           Relationship
1. ________________________________________________________________________________

2. ________________________________________________________________________________


I hereby offer to lease from ______________________ the apartment referred to above 
and if accepted undertake to execute a lease in the standard form used by the 
Landlord for the building. I represent that tile information provided in this
Application is true and correct and authorize you to obtain a credit report. I 
enclose herewith the total sum of __________, being a holding deposit (security 
deposit following acceptance of Offer), for the apartment noted above. If the Offer 
is declined, the total amount without interest will be refunded. Should I not sign 
the lease or accept occupancy on the above-noted possession date, I accept 
responsibility for payment of the first month's rent; you are hereby authorized to 
rent the premises to someone else; and the holding deposit paid herewith shall be 
retained by the Landlord as liquidated damages for the Landlord's expense in 
reserving the suite. I acknowledge receipt of a copy of the Residential Tenancies 
Act. Should this Offer be accepted, I agree to pay rent by providing a series of 
post-dated cheques for the lease term.


DATE: ______________                    APPLICANT: ________________________________