APPLICATION FOR RENTAL
Twin City Management Limited
11 Pettipas Drive, Unit A, Dartmouth, Nova Scotia B3B 1K1
Phone: ( 902)468.9830 Fax: (902)468.5329
Building Address: Apt : # Bdrms:
Possession Date: Rent: $ Sec Dep: $
Applicant Information
First Name: Last Name:
Date of birth (mm/dd/yyyy): SIN: Phone:
Email Address:
Current address: City: Province: Postal Code:
Own / Rent (Please circle) Monthly Payment: How long?
Present Landlord / Management Company: Phone:
Written Notice Given? Y / N Vehicle Make/Model: Licence Plate:
Current employer: Position:
Supervisor: Position: Phone:
Years Employed: Hourly / Salary (Please circle) Annual income:
References - Applicant
Name: Address: Phone:
Name: Address: Phone:
Emergency Contact Name:
Relationship: Address: Phone:
Co- Applicant Information
First Name: Last Name:
Date of birth (mm/dd/yyyy): SIN: Phone:
Email Address:
Current address: City: Province: Postal Code:
Own / Rent (Please circle) Monthly Payment: How long?
Present Landlord / Management Company: Phone:
Written Notice Given? Y / N Vehicle Make/Model: Licence Plate:
Current employer: Position:
Supervisor: Position: Phone:
Years Employed: Hourly / Salary (Please circle) Annual income:
References - Co - Applicant
Name: Address: Phone:
Name: Address: Phone:
Emergency Contact Name:
Relationship: Address: Phone:
Persons To Occupy Suite other Than Above Applicants
Name: Date of birth (mm/dd/yyyy): SIN:
Name: Date of birth (mm/dd/yyyy): SIN:
Name: Date of birth (mm/dd/yyyy): SIN:
NO PETS OR VISITING PETS Initials ____________ / ____________
It is understood that only those who are named above will occupy the suite. Upon Signing a lease, 12 post dated cheques are requested, along with
proof of Tenant Insurance. Initials ____________ / ____________
I/we hereby certify that the above information is true and complete and that I/we have not withheld any information relevant to this application. It
is also understood that the property management company and / or owner reserve the right to reject this application.
Initials ____________ / ____________
I/we hereby give permission to the landlord or their agent(s) 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/our
references, and to take any other reasonable steps necessary to assess this rental Application, or for any renewal or extension of my/our tenancy.
I/we also provide my/our consent to the landlord or their agent(s) to disclose information in my rental application and information arising from any
tenancy between us to any third party for the purposes of providing a consumer/credit report or contributing information to a database of tenant
information made available to landlords or their agents.
Signature of Applicant: ______________________________________________ Date:_________________
Signature of Co-Applicant:____________________________________________ Date:_________________
Approved Not approved Date