LEGACY PROPERTIES
RENTAL APPLICATION
182 Bedford Highway, Halifax NS B3M 0A4
Tel: (902) 209-1110 Fax: (902) 445-2634
legacycanada@outlook.com
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Please ensure all fields are completed to ensure a faster processing time. Thank you!
(Mandatory fields are marked with a *)
BUILDING:
Riviera
10 Legacy
24 Legacy
34 Legacy
35 Legacy
182 Bedford Highway
*APT SIZE REQUIRED:
1 Bedroom
1 Bedroom/Den
2 Bedroom
2 Bedroom/Den
3 Bedroom
PH
UNIT (if applicable):
*DATE REQUIRED:
APPLICANT INFORMATION
*FIRST NAME:
MIDDLE:
*LAST NAME:
*SIN:
*BIRTHDATE (m/d/y):
Marital Status:
Single
Married
Common-Law
*HOME PHONE:
WORK PHONE:
CELL PHONE:
CO-APPLICANT INFORMATION
FIRST NAME:
MIDDLE:
LAST NAME:
SIN:
BIRTHDATE (m/d/y):
Marital Status:
Single
Married
Common-Law
HOME PHONE:
WORK PHONE:
CELL PHONE:
RESIDENTIAL HISTORY
*PRESENT ADDRESS (Street and Apartment if applicable):
*CITY
PROVINCE
*POSTAL CODE
HOW LONG:
RENT AMOUNT:
LANDLORD/MORTGAGE CO:
PHONE:
IF LESS THAN 3 YEARS PLEASE COMPLETE ADDITIONAL INFORMATION
PREVIOUS ADDRESS (Street, City, Province, Postal Code):
HOW LONG:
RENT AMOUNT:
LANDLORD/MORTGAGE CO:
PHONE:
EMPLOYMENT HISTORY - APPLICANT
STATUS: Full Time
Part Time
Student
Retired
EMPLOYER and POSITION:
CURRENT:
PREVIOUS:
EMPLOYER ADDRESS:
SUPERVISOR:
PHONE:
MONTHLY NET INCOME:
EMPLOYMENT HISTORY - CO APPLICANT
STATUS: Full Time
Part Time
Student
Retired
EMPLOYER and POSITION:
CURRENT:
PREVIOUS:
EMPLOYER ADDRESS:
SUPERVISOR:
PHONE:
MONTHLY NET INCOME:
VEHICLE INFO
MAKE/MODEL:
MAKE/MODEL:
PLATE #:
PLATE #:
PETS
YES or NO
PERSONAL REFERENCE
NAME:
ADDRESS:
PHONE:
NAME:
ADDRESS:
PHONE:
EMERGENCY CONTACT
NAME:
ADDRESS:
PHONE:
Application
I hereby certify that the above information is true and 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.
(check box to confirm you have read & understood the above)
Permission To Check Credit
By checking the box below and entering my email address in signature line... 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 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 and/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 the landlords or their agent(s).
(check box to confirm you agree)
*Type EMAIL ADDRESS In Box As Signature:
Date:
Type EMAIL ADDRESS In Box As Signature:
Date: