Richmond West

Rental Application PDF

Richmond West at 118 Richmond St, Dartmouth

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For all applicants over the age of 18 applying together (roommates, spouses, etc.), please submit individual applications and mention each other in the "Notes" section. Ensure you provide a valid and recent proof of income, such as a recent pay stub, a redacted T4, or an employment contract/letter.

*1 Cat Only - must be fully vaccinated with updated vaccination record required*. This building is not dog-friendly.

First Name

Phone

Last Name

Date of Birth

Social Insurance Number

Street Address

City & Province

Rental/Mortgage Paid Monthly

Duration of Current Address

Landlord Name (if applicable)

Landlord Phone #

Emergency Contact Name

Emergency Contact Phone #

Place of Employment

Job Title

Years employed by current job

Annual Salary

Other Income

Describe any pets

Describe any vehicles

License Plate

Monthly Rent Amount

Start Date

I hereby consent to you obtaining factual or investigative information about me/us from outside parties, including through a credit report. I/we authorize those parties to give you the information about me/us. The personal information provided on this form is required for and will be used to administer your application. In administering your application, personal information may be collected from or disclosed to, credit or consumer bureaus, other landlords, and government or regulatory authorities. I verify that all statements on this application are true and I/we authorize verification of all references’ given. Information in connection with the entering into or renewal of a tenancy agreement may be conveyed to a third party. All personal information will otherwise be kept confidential and secure. Only those applicant(s) listed above are allowed to occupy the specified suite.

I agree to the terms & conditions

RICHMOND WEST

Richmond West

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