Please return this application
Along with rental deposit to:
#140 4731 61 St, Red Deer
(cash or bank draft/money order only).
403.356.0126
Rental Unit Information
Address of Rental Unit:
City: Province: Postal
Code:
Rental Amount:
Term of Tenancy:
Personal Information
Applicant #1
Applicant #2
Applicant #3
Name:
Current Address:
Phone 1:
Email:
Date of Birth:
Employment Info
PLEASE PROVIDE COPY OF CURRENT PAY STUB FOR EACH APPLICANT
Current Employer:
Address:
Supervisors Name:
Phone:
Length of
Employment:
Gross Monthly Wage:
Job Position:
Rental History
Applicant #1
Applicant #2
Applicant #3
Current Landlords
Name:
Current Landlords
Phone:
Date you moved in:
Monthly Rent:
Reason For Leaving:
Previous Address
Previous Landlord’s
Name:
Previous Landlords
Phone:
Date you moved in:
Monthly Rent:
Reason For Leaving:
Emergency Contact
Applicant #1
Applicant #2
Applicant #3
Name of a person not
residing with you:
Phone:
Relationship:
I/We hereby certify that all statements made in this application are true and I/we hereby authorize the Landlord to
conduct a personal Investigation /credit check and to contact any person identified in this Rental Application
I/We hereby state acknowledge that there are no pets allowed on these premises.
The Landlord hereby acknowledges receipt of the sum of $ ____________ as deposit to be considered as a rental
deposit, forfeitable, in the event that the applicant does not take occupancy on the commencement date as agreed upon
or fails to execute the standard lease agreement when presented for execution. Upon the applicant taking possession of
the apartment, the deposit shall be deemed to be a Security Deposit as defined in the Province of Alberta under the
Residential Tenancies Act, consolidated August, 1992.
Applicant #1
Applicant #2
Applicant #3
SIGN
DATE