Rental Application

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone Number *

(###)

###

####

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Currently Renting or Owning?

Rent

Own

Previous Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Rented or owned previous address? *

Rented

Owned

Employer Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer Phone *

(###)

###

####

Hourly or Salary *

Hourly

Salary

Name of Emergency Contact *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Phone Number

(###)

###

####

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Currently Renting or Owning

Renting

Owning

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Rented or Owned Previous Address?

Rented

Owned

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Hourly or Salary

Hourly

Salary

Occupant 1 Date of Birth

MM

DD

YYYY

Occupant 2 Date of Birth

MM

DD

YYYY

Landlord Name

First Name

Last Name

Landlord Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Landlord Phone

(###)

###

####

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.

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.

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