OFFER TO LEASE

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OFFER TO LEASE BUILDING: Belmont Arms Summer Crest Gladstone Ridge Fax: 902-425-6988 Ph: 902-404-0181 Ph: 902-422-9711 Ph: 902-830-4300 PLEASE NOTE: Our buildings are PET FREE. Under no circumstances will pets be permitted. Name in Full Age Social Insurance # Phone Present Address Present Landlord Landlord Phone Employer How long Position/Title Monthly Income Name and Phone # of Supervisor NEXT OF KIN (Nearest relative) Phone Number Professional Reference: Individual Name Company Name Address Phone _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ First Applicant _____________________________________________ _____________________________________________ _____________________________________________ Res: __________________ Bus: __________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Second Applicant _____________________________________________ _____________________________________________ _____________________________________________ Res: __________________ Bus: __________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Other Persons who will occupy this unit: 1. ________________________________________ 2. ________________________________________ 3. ________________________________________ Age: ____________________ Age: ____________________ Age: ____________________ SIN: ___________________ SIN: ___________________ SIN: ___________________ Please Note: The Landlord must be aware of all occupants in this unit. Occupancy changes are not permitted without the written consent of the Landlord. APARTMENT INFORMATION Type of accommodation wanted: _____________________ Unit Number: _____ Possession Date:_____________ Rent will be $___________; Parking will be $__________, Storage will be $________, for a total of $_________per month, payable in advance, in one cheque. Security Deposit will be $___________, Keyless Entry Device(s) Deposit will be $______, for a total deposit amount of $__________. The total deposit amount of $____________ was paid on _____________________, a) by cheque number _______ or b) by cash, receipt of which is hereby acknowledged. No of Storage Lockers requested: _____ No of Parking Spaces requested: ____ Make of Car:________________ Color: _______ Year:_____ License Plate No: _____________ Registration Number: ______________________ THE LANDLORD WILL NOT PROCESS AN INCOMPLETE APPLICATION The owner and/or agent for the owner(s) reserves the right to reject this application and to refuse possession of the above mentioned accommodations. NOTE: BEFORE A LEASE IS SIGNED, THE LANDLORD REQUIRES THAT THE SECURITY DEPOSIT IS PAID AND TWELVE (12) POST-DATED CHEQUES IN THE AMOUNT OF THE MONTHLY TOTAL PAYABLE BE PROVIDED TO THE LANDLORD. By signing, you are aware that a landlord reference, employment verification and a credit report may be sought in the processing of this application, and you hereby grant permission for the owner and/or agent to obtain the same. Date: ________________ ____________________________ Signature of First Applicant ____________________________ Signature of Second Applicant Name in Full Age Phone Social Insurance # Present Address Present Landlord Landlord Phone Employer How long Position/Title Monthly Income Name and Phone # of Supervisor NEXT OF KIN (Nearest relative) Phone Number Professional Reference: Individual Name Company Name Address Phone Third Applicant _____________________________________________ _____________________________________________ Res:__________________ Bus:___________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Fourth Applicant _____________________________________________ _____________________________________________ Res:__________________ Bus:___________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Name in Full Age Social Insurance # Phone Present Address Present Landlord Employer How long Position/Title Monthly Income Name and Phone # Of Supervisor NEXT OF KIN (Nearest relative) Phone Number Professional Reference: Individual Name Company Name Address Phone Fifth Applicant _____________________________________________ _____________________________________________ _____________________________________________ Res:__________________ Bus:___________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ Date: _________________________ ______________________________________ Signature of Third Applicant ______________________________________ Signature of Fifth Applicant ______________________________________ Signature of Fourth Applicant

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