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THE JAMIESON 6306 CORK STREET HALIFAX, N.S.
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ON-LINE APPLICATION


If you have selected your unit and you are ready to sign a lease, please complete the form below. Please try to provide as much information as possible, as incomplete applications can result in delays. Please note: a copy of your application will also be emailed to you via the email address provided.

Regarding past addresses, we need two past addresses to run the credit check. Use an address that your phone bill, visa card statements, etc are sent to. This could be your apartment, or someone else's address (e.g., your bills are sent to your parents house).

If you have any other questions about anything you find on this website or would like to schedule a viewing - please call us at 902.441.0143 or please use the general contact form. Any personal contact information you provide will only be used to process your application.

RED = Required Field
Unit # Applying For:
Move In Date:
Gender/Title:
First Name:
Middle Initial:
(enter NA if none)
Last Name:
Date of Birth (Year ie: 1980):
Date of Birth (Month):
Date of Birth (Day):
Social Insurance #:
(ie: ###-###-###)
Your E-mail:
Home or Cell Phone #:
Parking Spaces Required:
Are You a Smoker?:
Current Address
Address (incl. Postal Code):
Number of Years:
Landlord's Name:
Landlord's Phone:
Reason for Leaving:
Current Rent:
Previous Address (if Less than 2 Years at Present Address)
Address (incl. Postal Code):
Number of Years:
Landlord's Name:
Landlord's Phone:
Reason for Leaving:
Employment Information
Name of Employer:
Number of Years:
Address:
Phone:
Position:
Gross Monthly Income:
If a Student
College or University:
Current Status:
Field of Study:
List of Persons to Occupy Apartment (incl. Persons Age)

Next of Kin (In case of emergency)
Name:
Address:
Phone:


I certify all statements on this form are true. I understand that a credit check may be done based upon this information. I give my permission to contact and exchange information from landlords and employers.

 I also provide my consent to the Landlord or their Agent(s) to disclose information in my Rental Application and information arising from any tenancy between us to any third party for the purposes of providing a consumer/credit report or contributing information to a database of tenant information made available to landlords or their agents.

 Other than a cat, it is no understood that NO pets or visiting pets are permitted on the premises without the prior written permission.

 I understand that submitting this form electronically is the same as a written signature and holds the same legal expectations.

Spell the number 7 in lower case letters (to prevent spam):



HRMApartments.ca | The Jamieson - 6306 Cork Street Halifax, Nova Scotia B3K 5E5 | Phone: 902.441.0143