Rental Application - The Willow

First Name *

Last Name *

Date of Birth *

Email *

Verify Email *

Phone *

Work Phone

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

Do you have pets? *

Yes

How many pets / what kind? *

Will there be other tenants in addition to you? *

Yes

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

The Willow

New Glasgow, Nova Scotia

Thank you for your interest

902-755-1548

info@thewillow.ca

56 Willow Ave. New Glasgow, NS