Building information Address: 299 Gary Martin Drive, Bedford, NS. B4B 1G9 Phone: Stephanie 902.579.5269 email: info@domvista.ca drop us a line APPLICATION FOR RENTAL BUILDING ADDRESS* SUITE* NO. BED RMS* POSSESSION DATE* MONTHLY RENT* MONTHLY PARKING* APPLICANT Surname* Given* Birthdate* Present Address* Telephone # Res* Off* Driver's License* S.I.N.* Military Locator #* Car make, year and license #* CO-APPLICANT Name In Full* Given* Birthdate* Present Address* Telephone # Res* Off* Driver's License* S.I.N.* Military Locator #* Car make, year and license #* PERSONS WHO WILL OCCUPY THE SUITE OTHER THAN ABOVE APPLICANT/S Name* S.I.N* Birthdate* Name* S.I.N* Birthdate* Name* S.I.N.* Birthdate* APPLICANT CO-APPLICANT Current Employer Occupation Immediate Supervisor & Phone Number Years Employed Employment Income Other Income & Phone Number Loan Amounts & Payments Bank (Branch) Account # Credit References Credit References APPLICANT Present Landlord's name* Address* Tel #* Present superintendent* Address* Tel #* Previous landlord's name* Address* Tel #*
