Application

Interested in Renting with us?

If you are interested in renting an apartment, we would love to hear from you! Please complete a rental application to get the process started.

Complete the application below or download and return completed application to:

Sean and Chelsea Woodman
25 Camelot Lane
Halifax, NS B3M 3Y3
Tel: 902-406-0608
Fax: 902-495-2599
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Download Application Form here.

Please ensure you give permission to your employer and tenancy references to discuss financial and employment information with Halifax West Realty. Failing to do so may delay the processing of your application.

Submit a separate application for each co-applicant.

Rental Application

Desired move in date:

APPLICANT INFORMATION

Name

Telephone

Date of Birth (DD/MM/YYYY)

Do you smoke? Yes No

TENANCY HISTORY

Present Address

City/Town

Current Monthly Rent

Length of Time at Address

Landlord’s Name & Phone

Reasons for Leaving

Previous Address

Length of Time at Address & Rent

Landlord’s Name & Phone

EMPLOYMENT HISTORY

Occupation

Employment Status Full/Part Time

Employer’s Name

Employer’s Phone

Employer’s Address

Length of Employment

Net Monthly Income

Previous Employer’s Name (if employed by above for less than 1 year)

Occupation/Length of Employment

Ongoing Monthly Financial Obligations. Please indicate type (eg loans, mortgage, support payments) and amount paid per month.

Name of Bank & Address

Year, Make, & Colour of Auto

CREDIT HISTORY

Have you declared bankruptcy in the past 7 years?

Have you had two or more late rental payments in the past year?

Have you ever been evicted from a rental residence?

Number of NSF cheques in the past year

Personal Reference Contact Name, Phone & Relationship

Please List all Persons to Occupy Apartment:

NAME

DATE OF BIRTH (DD/MM/YYYY)

RELATIONSHIP

NAME

DATE OF BIRTH (DD/MM/YYYY)

RELATIONSHIP

NAME

DATE OF BIRTH (DD/MM/YYYY)

RELATIONSHIP

ADDITIONAL INFORMATION:

Please give any additional information that might help owner/management evaluate this application

It is understood that only those who are named above will occupy the apartment. Proof of tenant insurance will be required before occupancy. There are to be NO PETS or VISITING PETS allowed on the premises. Post-dated cheques are required upon signing of the lease and will continue to be required for each year thereafter. This applicant offers to lease the said apartment and hereby agrees to pay a security deposit as a holding fee on the understanding that if the offer is accepted, the fee shall be retained by the landlord as a Security Deposit, to be held during the tenancy of the premises and will be refunded at termination of the tenancy pursuant to the Residential Tenancies Act of NS, provided the applicant has complied with all covenants of the Lease Agreement. If the offer is NOT accepted, the full deposit will be refunded HOWEVER if on notification of acceptance the tenant fails to execute the lease, then the said fee shall be forfeited and retained by the landlord. The landlord or his agents, are hereby authorized to verify and contribute to any consumer reporting agency any information given herein and to obtain further information as required either before, during or after tenancy in relation to this application for tenancy.

A building NON-SMOKING POLICY is being introduced by Halifax West Realty. Tenants with an existing lease are permitted to smoke in their units, however, all new tenants and leases, effective January 1, 2018, must abide by the building’s non-smoking policy, including, but not limited to, tobacco products, recreational and medicinal marijuana. This policy applies to all areas in and around the building, including tenant suites, balconies and parking lots.

I/We hereby give permission to Halifax West Realty 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.

If the applicant has made any misstatement of material facts relating to the application or if the applicant fails to complete the application, the landlord at its option may cancel the lease. The landlord reserves the right to reject this application and to refuse possession of the above mentioned accommodations. I/ We declare that all the information given in this application is true and complete and will form part of the agreement. I agree to permit an investigation of my credit, tenant history, and employment for the purposes of renting an apartment with this landlord.

Applicant Name

Date

Application

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