RENTAL APPLICATION
FoxWood Terrace Apartments
14 Foxwood Terrace, Halifax, NS, B3R 2H7
Phone: 902-477-4685 Fax: 902-477-6239
Email:
[email protected] Web: www.foxwoodterrace.ca
INSTRUCTIONS: Please complete all sections on both pages. Please print all information. Mark "N/A" in any blanks that do not apply.
Apartment Size Required: Unit # Rental Rate Date Required
Bachelor 1 Bedroom 2 Bedroom 3 Bedroom
PERSONAL INFORMATION
Applicant's Full Name Email Address: H Phone #
First Initial Surname W Phone #
SIN Date of Birth Marital Status: Single Married Divorced Common Law
Co-Applicant's Full Name Email Address: H Phone #
First Initial Surname W Phone #
SIN Date of Birth Marital Status: Single Married Divorced Common Law
Other Residents (Include Children) Relationship Date of Birth
1.
2.
3.
RESIDENTIAL HISTORY
Present Address How long there Rent amount
Landlord Phone # Reason for leaving
Previous Address How long there Rent amount
Landlord Phone # Reason for leaving
Previous Address How long there Rent amount
Landlord Phone # Reason for leaving
EMPLOYMENT HISTORY
Applicant's Employment History
Status: Full Time Part Time Student Retired Unemployed Other
Job Title Current Previous Length of
Employment
Employer Employers Address
Supervisor/Caseworker Phone # Monthly Income
□Net □Gross
Co-Applicant's Employment History
Status: Full Time Part Time Student Retired Unemployed Other
Job Title Current Previous Length of
Employment
Employer Employers Address
Supervisor/Caseworker Phone # Monthly Income
□Net □Gross
(CONTINUED ON OTHER SIDE)
Revised Jan 2013
REFERENCES
Bank Reference Address
Chequing Account # Savings Account #
Credit Reference Credit Account #
Address Phone #
Applicant Personal Reference Address Phone # Relationship
Co-Applicant Personal Reference Address Phone # Relationship
LOANS
Institution Address Monthly Payment Balance
1.
2.
AUTOMOBILES
Make / Model Year / Color License Plate Number Province
1.
2.
OTHER INFORMATION
Applicant’s Next of Kin Address Phone # Relationship
Co-Applicant’s Next of Kin Address Phone # Relationship
NOTE: Upon execution of the lease and occupancy of the premises by the tenant, the deposit, if there is one, shall become
the Security Deposit where applicable; otherwise shall become a rent deposit to be applied towards the last month’s rent.
I hereby certify that the above information is true and complete and that I have not withheld any information relevant to this
application. It is also understood that the property management and/or owner reserve the right to reject this application. I
have read and understand these conditions.
_____________________________ ___________________ _____________________________ ___________________
Applicant Signature Date Co-Applicant Signature Date
I/we know that I/we have the right to verify the information about me/us held by credit reporting agencies, that the landlord and its
agents are entitled to rely on such credit reports as being correct, and I/we release any claim I/we may have arising from reliance on
that information.
I/we hereby give irrevocable permission to the Landlord or its agents to obtain at any time a consumer/credit report about me/us, to
contact previous landlords to obtain information about my/our previous tenancies, to contact agencies that provide landlord information,
to contact my references, and to take any other reasonable steps necessary to assess this rental application or for any amendment or
renewal of my/our tenancy. I/we provide my/our irrevocable consent to the Landlord or their agents to disclose information from my
rental application and information arising from any tenancy between us to any third party for the purpose of contributing information to a
database of tenant information to be used in providing consumer/credit reports.
_____________________________ ___________________ _____________________________ ___________________
Applicant Signature Date Co-Applicant Signature Date
FOR OFFICE USE ONLY
REFERENCE VERIFICATION APPLICATION DEPOSITS
Present Address Approved Not Approved
Previous Address _________ ______ ___________
Employment Date Initials ___________________
Co-Resident ___________________ _________________
Final Building & Apt. # Date of Occupancy ___________
Bank Chequing
___________________
Saving Credit Loans
Date Amount
Revised Jan 2013
