Phone: 902.850.2444 Fax: 902.852.3839
info@hageenterprises.com

This form can be downloaded here. (PDF Document)

Applicant

Application for
Surname
Given
Birthdate
E-mail Address
Present Address
Telephone (day)
Telephone (evening)
Drivers License
SIN
Military Locator #
Car Information Make Year Liscense #

Co-Applicant

Surname
Given
Birthdate
Present Address
Telephone (day)
Telephone (evening)
Drivers License
SIN
Military Locator #
Car Information Make Year Liscense #
Year  

Persons who will occupy the suite other than above applicant(s)

Name SIN Birthdate
Name SIN Birthdate
Name SIN Birthdate

Employment Information

  Applicant Co-Applicant
Current Employer
Occupation
Immediate Supervisor Name
Immediate Supervisor Phone
Year Employed
Employment Income
Other Income
Previous Employer
Previous Employer Phone
Loan Amounts and Payment
Bank(Branch) Account
Credit References
Credit References 2

Applicant

Present Residential Information

Landlord's Name
Address
Phone
Present Superintendent
Address
Phone
Is the landlord aware your intend to move?
Reason for moving
Previous landlords name

Personal References

Name Address
Occupation Phone
Name Address
Occupation Phone

Next of Kin

Name Relationship
Occupation Phone

To contact in case of emergency:

Name Phone

Co-Applicant

Landlord's Name
Address
Phone
Present Superintendent
Address
Phone
Is the landlord aware your intend to move?
Reason for moving
Previous landlords name

Personal References

Name Address
Occupation Phone
Name Address
Occupation Phone

Next of Kin

Name Relationship
Occupation Phone

To contact in case of emergency:

Name Phone

Referred by

Reffered by: