Rentals Renter Information Property Interested In 28 Titus street #, Halifax NS Name: Date of Birth: Home phone Cell: Name and ages of children Personal History Present Address: City/State/Zip Landlord Name: Phone: Monthly Rent: Dates: From To Previous Address: City/State/Zip Landlord Name: Phone: Monthly Rent: Dates: From To Employment History Present Employer: Position: Address: City/State/Zip Supervisor's Name: Phone: Gross Salary: Dates: From To Previous Employer: Position: Address: City/State/Zip Supervisor's Name: Phone: Gross Salary: Dates: From To Reference Please list persoonal references: (Not Relatives) Name: Phone: Address: City/State/Zip Years Acquainted: Name: Phone: Address: City/State/Zip Years Acquainted: Nearest Relative Name: Phone: Address: City/State/Zip Relationship: All information will remain private and we will not share any of your information with anyone. Type your initials: Friday May 8th 2026 Please check all information before submitting.
