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The Willow

New Glasgow, Nova Scotia

Rental Application

Thank you for your interest

To submit an application to become a tenant at The Willow please fill out the form below, note all fields marked with an asterik are required. Should you have any questions regarding this application or the for more information about our rental properties please contact us using the contact form or the information found at the bottom of the website.

If you are human, leave this field blank.

First Name *

Last Name *

Date of Birth *

Email *

Verify Email *

Phone *

Work Phone

Desired Unit Size - First Choice *

1 Bedroom

1 Bedroom with Den

2 Bedroom

2 Bedroom with Den

3 Bedroom

3 Bedroom with Den

Desired Unit Size - Second Choice *

1 Bedroom

1 Bedroom with Den

2 Bedroom

2 Bedroom with Den

3 Bedroom

3 Bedroom with Den

Current Address *

How long at current address? *

Reason for moving *

Rent or Own? *

Rent

Own

Current Landlord *

Landlord's Phone Number *

Do you smoke? *

Yes

No

Do you have pets? *

Yes

No

How many pets / what kind? *

Will there be other tenants in addition to you? *

Yes

No

How many other tenants in addition to you? *

Please list tenant names and date of birth for each *

Current Employer *

Occupation *

Immediate Supervisor's name *

Supervisor's Phone Number *

Reference # 1 (Name and phone number) *

Reference # 2 (Name and phone number) *

Reference # 3 (Name and phone number) *

Confirmation *

With the action of submitting this form I declare the information contained on this application to be true and hereby consent to D.B. Apartments Ltd. obtaining factual or investigative information about me or to procuring or causing to be prepared a credit or consumer report containing credit and personal information about me with respect to this application.

I Agree

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Contact us

If you are human, leave this field blank.

Name *

Phone *

Email *

Confirm Email *

Textarea *

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902-755-1548

info@thewillow.ca

56 Willow Ave. New Glasgow, NS

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