Application for Rental Accommodation
The Landlord acknowledges the confidentiality of your data. If you are not comfortable with this form, you can download the fillable PDF at https://yegpm.ca/rental-application-pdf and email it to us.
Sign in to Google to save your progress. Learn more
1. PROPERTY INFORMATION
1.1 Please, chose the address of the property you are applying for *
1.2 Date to occupy *
MM
/
DD
/
YYYY
2. APPLICANT
2.1 First name *
2.2 Last name *
2.3 Gender
Clear selection
2.4 Date of birth *
MM
/
DD
/
YYYY
2.5 Current address *
2.6 City *
2.7 Province *
2.8 Postal code *
2.9 Home phone
2.10 Cell phone *
2.11 Email *
2.12 Social insurance number
2.13 Driver's license number
2.14 Have you been convicted of a crime involving violence to persons or property in the last two years? *
2.15 Have you been convicted of any drug-related offenses in the last two years? *
2.16 Do you owe money to your current landlord or any former landlord? *
3. EMPLOYEMENT (applicant)
3.1 Employer
3.2 Occupation
3.3 Years in position
3.4 Monthly income
3.5 Supervisor name
3.6 Business phone
3.7 Address
3.8 City
3.9 Province
Clear selection
3.10 Postal code
4. CO-APPLICANT
4.1 First name
4.2 Last name
4.3 Gender
Clear selection
4.4 Date of birth
MM
/
DD
/
YYYY
4.5 Current address
4.6 City
4.7 Province
Clear selection
4.8 Postal code
4.9 Home phone
4.10 Cell phone
4.11 Email
4.12 Social insurance number
4.13 Driver's license number
4.14 Have you been convicted of a crime involving violence to persons or property in the last two years?
Clear selection
4.15 Have you been convicted of any drug-related offenses in the last two years?
Clear selection
4.16 Do you owe money to your current landlord or any former landlord?
Clear selection
5. EMPLOYEMENT (co-applicant)
5.1 Employer
5.2 Occupation
5.3 Years in position
5.4 Monthly income
5.5 Supervisor name
5.6 Business phone
5.7 Address
5.8 City
5.9 Province
5.10 Postal code
6. DEPENDENTS
6.1 Dependent one
6.2 First name
6.3 Last name
6.4 Gender
Clear selection
6.5 Date of birth
MM
/
DD
/
YYYY
6.6 Age
6.7 Relation to applicant
6.8 Dependent two
6.9 First name
6.10 Last name
6.11 Gender
Clear selection
6.12 Date of birth
MM
/
DD
/
YYYY
6.13 Age
6.14 Relation to the applicant
6.15 More dependents? Please, provide their information, as requested above.
7. CREDIT INFORMATION of APPLICANT(s)
7.1 Bank
7.2 Branch
7.3 Address
7.4 Bank
7.5 Branch
7.6 Address
7.7 Bank
7.8 Branch
7.9 Address
8. PREVIOUS ADDRESS(es)
Please, include last 12 months.
8.1 Name of current landlord
8.2 Phone
8.3 Address
8.4 From
MM
/
DD
/
YYYY
8.5 To
MM
/
DD
/
YYYY
8.6 Name of landlord
8.7 Phone
8.8 Address
8.9 From
MM
/
DD
/
YYYY
8.10 To
MM
/
DD
/
YYYY
8.11 Name of landlord
8.12 Phone
8.13 Address
8.14 From
MM
/
DD
/
YYYY
8.15 To
MM
/
DD
/
YYYY
9. ADDITIONAL INFORMATION
Please, describe your current accommodation and provide with any information you would like to acknowledge us.
10. PET APPLICATION
Required, if you move in with pets.
10.1 Pet
Clear selection
10.2 City of Edmonton license
10.3 Breed
10.4 Size
10.5 Color/markings
10.6 Spayed/neutered
10.7 Gender
Clear selection
10.8 Age
10.9 Name
10.10 More than one pet? Please, provide information as requested above.
ACKNOWLEDGEMENT (PET APPLICATION)
I/We acknowledge that this application for approval is strictly limited to the above mentioned pet(s) to live on the rental premises. The pet(s) may not be replaced without prior approval by and re-application to MaxWell Progressive.

I/We understand that if my/our pet presents a problem that MaxWell Progressive has the authority with withdraw such approval within fifteen (15) days’ notice in writing to me/us. I/We understand that no animal of any kind shall be kept in any unit unless approved.

DECLARATION OF UNDERSTANDING (ENTIRE APPLICATION)
I/We understand that this application does not constitute an agreement of the part of MaxWell Progressive or its agents to provide me/us with rental accommodation. I/We acknowledge the right of MaxWell Progressive or its agents at any time prior to the execution and delivery of residential tenancy agreement applied for to withdraw or cancel, without penalty for damaged otherwise, any acceptance or approval of this application previously made or given.

I/We authorize MaxWell Progressive or its agents to make any inquiries by any method the Brokerage deems necessary to verify information regarding my/our household composition, income, assets, employment, or address.

Discovery of false and/or incomplete information will result in the cancellation of my/our application.

I/We consent to MaxWell Progressive or its agents contacting any of my/our current or previous landlords to complete reference checks for the purposes of assessing my/our suitability as a prospective tenant, rental payment history, maintenance and upkeep of the premises, conduct of occupants and guests, compliance with rules and regulations of residential tenancy agreements, and reasons for vacating if applicable.

I/We understand there may be legal penalties for providing false, misleading, or incomplete documents on which MaxWell Progressive relies to determine eligibility for rental accommodation.

I/We consent to MaxWell Progressive or its agents to obtain my/our credit report.

I/We understand it is my responsibility to carry tenant insurance with $1M general liability coverage for loss or damage.

If you do not agree with the above, you will not be able to submit your application.
Applicant (and co-applicant) *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MaxWell Progressive. Report Abuse
Google Forms