Alberta Application for Rental Accommodation Form

Application for Rental Accommodation Personal Information contained in this application will be used in the administration of rental accommodation approval. The applicant's personal information collected in this document will be used in accordance with Alberta's Personal Information Protection Act and other applicable laws. Inquiries about the handling of personal information by a private-sector organization operating in Alberta should contact the Office of the Information and Privacy Commissioner for Alberta by phoning 1-888-878-4044

1)

ACCOMODATION INFORMATION

Type Requested (please circle) Apartment Condominium Basement Suite

Townhouse Main Floor

Duplex

House

Address of Property ___________________________________________________________________ Today's Date ___________________________ Date Requested ______________________________ Occupants names and ages ______________________________________________________________

2)

Personal Information of Applicant

Name ________________________________________________________________________________ FIRST

MIDDLE

LAST

Current Full Address __________________________________________________________________ ____________________________________________________________________________________ Phone (home)_____________________ (cell)_________________________ (work)_________________

3)

Employment Information of Applicant

Employer _____________________________________ Occupation _____________________________ Employer Address ______________________________________________________________________ Supervisor _________________________________________ phone_____________________________ Length of time at company _________________________ permanent Salary or Wage $_____________per_____________

or

contract

(circle one)

Previous Employer _____________________________ Occupation _____________________________ Employer Address ______________________________________________________________________ Supervisor _________________________________________ phone_____________________________ Length of time at company _________________________ permanent

or

contract

(circle one)

Salary or Wage $________________per______________

4)

Credit Report Information of Applicant

Name ________________________________________________________________________________ FIRST

Date of Birth

MIDDLE

LAST

_____________________________________________ DAY

MONTH

YEAR

SIN __________________________________________________ I have (circle one) Excellent Credit

Good Credit

Decent Credit

Bad Credit

I know my credit score and it is _______________________ Reasons for the above_________________________________________________________________ ____________________________________________________________________________________ _____________________________________________________________________________________ I _______________________ consent to the collection of my credit score for the purposes of rental accommodation approval __________________________________ date______________________ SIGNATURE OF APPLICANT

5)

Rental History of Applicant

Current Address______________________________________________________________________________ Current rental amount $_______________ Type of property __________________________ Years at property____________ Reason for Leaving__________________________________________ Have you ever been late paying the rent at this property?______________________________________ Landlord Name_____________________________________________ phone______________________

Previous Address______________________________________________________________________________ Rental amount $_______________ Type of property __________________________ Years at property____________ Reason for Leaving__________________________________________ Have you ever been late paying the rent at this property?______________________________________ Landlord Name_____________________________________________ phone______________________

Previous Address______________________________________________________________________________ Rental amount $_______________ Type of property __________________________ Years at property____________ Reason for Leaving__________________________________________ Have you ever been late paying the rent at this property?______________________________________ Landlord Name_____________________________________________ phone______________________

6)

Home Ownership of Applicant

Current Address______________________________________________________________________________ Current monthly mortgage payment $_______________ Type of property ________________________ Balance of mortgage_______________________ Value of property______________________________ Years at property____________ Reason for Leaving__________________________________________ Have you ever been late paying the mortgage at this property?_________________________________ Mortgage is held with ___________________________________________________________________ Contact Name _____________________________________________ phone______________________

Personal or Character References Name_____________________________________________ phone______________________ Relationship___________________________________________ years_______________________

Name_____________________________________________ phone______________________ Relationship___________________________________________ years_______________________

Name_____________________________________________ phone______________________ Relationship___________________________________________ years_______________________

7)

Additional Questions

What are some “must haves” for your new property?

Does anyone who will be moving into the property smoke? yes

no

outside

inside

Do you have pets? If so, please describe (type , weight, age, behaviour, and fixed)

Please describe why you are the perfect applicant for this property

I hereby consent to the collection of the above information for the purposes of rental accommodation approval. All information provided in this application is correct

___________________________________________________ Dated this ___ day of _______, 201 SIGNATURE OF APPLICANT