Rental Application Page 1Page 2Page 30% Complete1 of 3 Community of Interest * Select240 Portland Street, Dartmouth21 Albert Street, Dartmouth18 Crown Drive, Halifax27 Evans Avenue, Halifax35 Evans Avenue, Halifax23 Westgrove, Halifax16 Mandaville Court, Halifax299 Main Ave, HalifaxGuysborough CommunityLunenburg CommunityPort Hawkesbury CommunityBridgewater CommunityCanso Community Move-in Date: * Unit # (if known): Unit Type: * SelectStudio1-Bedroom2-Bedroom3-Bedroom Applicant Name: Applicant Name: First First Last Last Do you have a Co-Applicant? * Yes No Date of Birth: * Social Security Number: Current Address: * City: * Province: * Postal Code: * Email Address: * Phone Number (mobile): * Phone Number (home): How many adults are in your household? (18 years and older) * How many children are in your household? * Do you require any accessibility modifications? Do you require Parking? * NoYes How many parking spots? * 1234 Vehicle Make: Vehicle Model: Vehicle Year: Vehicle Color: Applicant Employer Name: * Employer Contact: * Position: * Salary: * Length of Employment: * Do you currently receive any additional income, financial assistance, or funding from government programs (e.g., disability support, income assistance, child benefits, or other specific circumstances)? * SelectYesNoN/A If yes, what source? Monthly Amount: Applicant Rental History (Last 3 Years) Address: * Landlord Name: Landlord Contact: Ownership * SelectOwnedRentedN/A Dates of Residency: * Current Monthly Rent/Mortgage: * Reason for Moving: * Have you ever received an eviction notice? If yes, why? * If you are human, leave this field blank. Next
