Residential Rental Application

RESIDENTIAL RENTAL APPLICATION
FOR OFFICE USE ONLY
Advantage Property Management Inc. a Division of Coldwell Banker Excellence Realty

Address: #105 10127 121 Ave, Grande Prairie, AB T8V 7V3

Phone: 780-357-0336 Fax: 780-669-3922

Email: info@advantagepropertygp.com
Rental Property Information
Rental Property Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Anticipated Possession Date *

Month Day Year
Date
The term of the tenancy will be *
The monthly rent will be *
The initial security deposit will be *
Applicants’ Personal Information
1st Applicant’s Name *
Home Phone *
Please enter a valid phone number.
Email *
example@example.com
Alternative Phone *
Date of Birth *

Month Day Year
Date
Applicant’s Social Insurance Number *
2nd Applicant’s Name
Home Phone
Please enter a valid phone number.
Alternative Phone
Email Address (Optional)
example@example.com
Date of Birth

Month Day Year
Date
Applicant’s Social Insurance Number
3rd Applicant’s Name
Home Phone
Alternative Phone
Email Address (Optional)
example@example.com
Date of Birth

Month Day Year
Date
Applicant’s Social Insurance Number
Name(s) of Dependants: Date(s) of Birth
Do you have pet(s)? *

Yes No
Breed
Weight
If more than one, how many?
Pet Reference Name
Phone
Pet Pictures Upload

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
Please attach a picture of your pet (s) when you send your application in. No pets will be allowed, unless screened by us during the application process.
Present Address
1st Applicants Present Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long at this address? *
Landlord / Lessor *
Phone Number *
Please enter a valid phone number.
2nd Applicants Present Address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long at this address?
Landlord / Lessor
Phone Number
Please enter a valid phone number.
3rd Applicant's Present Address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long at this address?
Landlord / Lessor
Phone Number
Please enter a valid phone number.
Previous Addresses
1st applicants previous address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long at this address?
Landlord / Lessor
Phone Number
Please enter a valid phone number.
2nd applicants previous address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long at this address?
Landlord / Lessor
Phone Number
Please enter a valid phone number.
3rd applicants address (if different)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How long at this address?
Landlord / Lessor
Phone Number
Please enter a valid phone number.
Details of Employment
Applicant 1 - Employer *
Position *
Date Hired *

Month Day Year
Date
Supervisor’s Name *
Phone *
Salary *
Applicant 2 - Employer
Position
Date Hired

Month Day Year
Date
Supervisor’s Name
Phone
Salary
Applicant 3 - Employer
Position
Date Hired

Month Day Year
Date
Supervisor’s Name
Phone
Salary
(If employed less than one year with present employer, please provide previous employer
Applicant 1 – Previous Employer
Date Hired

Month Day Year
Date
Length Of Employment
Supervisor’s Name
Phone
Salary
Applicant 2 – Previous Employer
Position
Date Hired

Month Day Year
Date
Length Of Employment
Supervisor’s Name
Phone
Salary
Applicant 3 – Previous Employer
Position
Date Hired

Month Day Year
Date
Length Of Employment
Supervisor’s Name
Phone
Salary
Other Sources of Income
Do you receive income from any additional sources? *

Yes No
Do you receive income from any of the following sources?

Student Loans Social Assistance Pension Benefits Housing First Grande Spirit ASLS Other
Please provide contact information and worker who could verify the amount of income you receive
Vehicle Information
Make / Model
Year
Driver’s License Number
Make / Model
Year
Driver’s License Number
Make / Model
Year
Driver’s License Number
Personal References
Name *
Phone *
Relationship *
For Which Applicant? *
Name *
Phone *
Relationship *
For Which Applicant? *
Name
Phone
Relationship
For Which Applicant?
Emergency Contact
Name *
Relationship *
Phone *
For Which Applicant?
Name
Relationship
Phone
For Which Applicant?
Name
Relationship
Phone
For Which Applicant?
I declare that the information I have provided is accurate. I authorize the individual or organization to whom this application is submitted to: (a) contact my references and all other persons that I have named in this application; (b) obtain relevant information in regards to the information that I have provided, including but not limited to work history, financial information, rental history and current employment status and wage; and (c)perform a credit and/or criminal check to assess my suitability as a tenant/lessee.
1st Applicant's Signature

Clear
Date

Month Day Year
Date
2nd Applicant's Signature

Clear
Date

Month Day Year
Date
3rd Applicant's Signature

Clear
Date

Month Day Year
Date
Applicant ID Upload

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
* Please attach a copy of your Drivers licence with the application.

* We go through your application as completely and as fast as we can. To help the process along make sure your references are aware that we will be calling.
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

RESIDENTIAL RENTAL APPLICATION

FOR OFFICE USE ONLY

Rental Property Information

Applicants’ Personal Information

Present Address

Previous Addresses

Details of Employment

Other Sources of Income

Vehicle Information

Personal References

Emergency Contact