RESIDENTIAL RENTAL APPLICATION
(Private & confidential)
For inquiries about the rental property, please contact:
Phone: +1 (647) 427-1654
Email: evelyncline39@[Link]
Date: 4th June, Wednesday 2025
RENTAL PROPERTY
• Type: Single Family
• Street address: 2711 34th St SW
• State: Alberta
• City: Edmonton
• Postal code: T6X 1A5. • Pets allowed
• No bedroom: 3 • No smoking indoors
• No of bathrooms: 3. • No partying
• Pet Deposit: None
• Parking: Garage
• Lease Term: ______
• Monthly Rent: $1800
• Initial damage deposit: $950(refundable)
• Utilities/month: Rent inclusive
DATE OF AVAILABILITY: 01/06/2025
APPLICANT’S INFO CO-APPLICANT’S INFO
(If Applicable)
1. Full Names. 1. Full Names
2. D.O.B. 2. D.O.B
3. Phone. 3. Phone
4. Email. 4. Email
5.. Marital Status. 5. Relation to applicant.
RENTAL HISTORY
1. Current address (where you reside now):
i. How long have you been residing at this address
iii. Reasons(s) for leaving this address?
• Monthly rent:
• Landlord’s name:
• Landlord’s Contact number:
2. Previous address (If applicable):
i. How long did you stay at this address?
ii. Reasons for leaving this address:
• Monthly rent:
• Landlord’s name:
• Landlord’s Contact number:
i. Have you ever been evicted from a rental residence? YES or NO
ii. Have you missed two or more rental payments in the last 12 months?
YES or NO
iii. Have you ever refused to pay rent when due? YES or NO
If you have answered YES to any of the above, please state your reasons and/or
circumstances:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
EMPLOYMENT / INCOME DETAILS
1. Current employment status:
Full-time [ ] • Part-time [ ] • Student [ ] • Unemployed [ ] • Retired [ ]
• Current employer: iv. Contact number: • Supervisor:
v. Contact number:
• Job title:
• Date Hired:
• Monthly income: $
Other sources of Income:
_____________________________________
2. Previous employment:
• Previous employer (if any):
vi. Contact number: vii. Contact number
•Supervisor:
• Job title
• Period of employment:
___________________________________________
PROOF OF INCOME
The applicant is required to attach proof of their income to this rental
application form.
Acceptable documentation includes pay stubs, employer’s letter
/Certificate, bank statements or copies of the previous year’s tax return
ADDITIONAL INFO
1. When do you intend to move in?
- How long do you plan on renting?
2. When do you wish to receive the keys and documents to the house?
(As soon as deposit is paid)
3. Where do you wish to receive the keys and documents to the house?
4. Rent/deposit available? YES or NO - Earliest possible date of
payment.
I declare that the information I have provided is true, correct and
contains no misrepresentations. If misrepresentations are found after
a residential lease agreement is entered into between the landlord and
applicant, the landlord shall have the option to terminate the
residential lease and seek all available remedies.
The applicant authorizes the landlord to verify all references and facts,
including but not limited to current and previous landlords, employers
and personal references.
The applicant understands that incorrect or incomplete information
provided in the application may cause a delay in processing or may result in
the denial of application.
Best Regards
Evelyn Cline
Landlord’s Signature. Applicant’s signature
_______________ _______________
Date:04/06/2025 Date: