114 Brookside Road (Halifax)- House

Monthly Rent: $


Possession date (dd / mm / yyyy):


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Personal Information:​

Name:

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Home/ Permanent Address:
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Email:

Dogs/ cats allowed (breed/ age/ weight/ trained/ spayed/ neutered):

Smoking, vaping, cannabis (Yes/ No):
YesNo

Emergency Contact:

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References:

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Financial Information:

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Direct Supervisor/ HR Contact:
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Student Loan:
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type​​​balance: $​​

Landlord Information:

Current company/ landlord’s contact name:​

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Monthly rent:​​
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Previous Landlord Name and Phone #:

For how long you lived there:

Photo ID:

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