RENTAL APPLICATION
Well provide once approved my sin # and drivers for me and my co applicant
APPLICANT INFORMATION
First Middle Last Birth Date Social Security # Driver’s License #
Elio Schwenderner 06/19/1973
Co-Applicant Home Phone Cell Phone
Terrie lynn curley 5878029602
All Other Proposed Occupants Birth Date Relationship To
Applicant
Emma July 02/2018 daughter
Feb/10/2022/daughter
Rae-shell
List All Pets
None
RENTAL/RESIDENCE HISTORY
Current Residence Previous Residence
Street Address 262 powder drive
Fort mcmurray
City Ab t9k0j1
State & Zip
Last Rent Amount Paid
Owner/Manager Kayla
and Phone Number 7808386240
Relocated for work
Reason for leaving
Yes
Is/Was rent paid in full?
Yes
Did you give notice?
Were you asked to move? No
Name(s) in which your utilities are now
billed:
From/To From/To
Dates of Residency May 2023 Feb 2024
CREDIT HISTORY
Have You: Yes No
Declared Bankruptcy in the past
7 years?
Ever been evicted from a rental
residence?
Had two or more late rental
payments in the past year?
Ever willfully or intentionally
refused to pay rent when due?
EMPLOYMENT HISTORY
Full Part Student Unemployed
Time Time
Your Current Status X
Current Employment Previous Employment Co-Applicant
Employment
Employed By Jec contracting 3stars roofing Part time
Address Edminton
7804990017
Ontario Fort mcmurray
Nurse
Employer’s Phone Manager
Occupation Even 4500
Name of Supervisor 7000
Monthly Gross Pay 2010 currently 2008-2010 Currently
From/To From/To From/To
Dates of Employment
Amount ($) Source/ Contact Name Contact Number
Additional Source of
2000$
Income Child tax
VEHICLES (Include vehicles belonging to other proposed occupants also)
Make Model Color Year License Plate
None
REFERENCES & EMERGENCY CONTACTS
Reference 1 Reference 2 Reference 3
Name KIM SMITH Simon
4848 22ave Edmonton
Street Address Edmonton ab 6136483667
City 5873164667
Friend/co worker
Phone Number
Relationship
By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we
can’t locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your
relative listed above to remove all contents of the dwelling on your behalf.
GENERAL INFORMATION
When would you be able to move in?
Feb19.2024
Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain:
Nine
Do any of the people who would be living in the apartment smoke?
No
Have you ever been convicted of a felony?
No
KIM SMITH
4848 22ave If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent,
Edmonton ab do you know someone that would loan you the money? If so, provide the person’s name, address, & phone # so
5873164667
Friend/co worker
that we can use them as a reference for you.
Have you been a party to a lawsuit in the past? If yes, please explain why:
No
We may run a credit check and a criminal background check. Is there anything negative we will find that you
want to
No
comment on?
Do you have an e-mail address we can reach you at?
[email protected]
Agreement & Authorization Signature
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or
criminal check to be made, verification of information I provided and communication with any and all
names listed on this application. I understand that any discrepancy or lack of information may result in
the rejection of this application. I understand that this is an application for an apartment and does not
constitute a rental or lease agreement in whole or part.
Signature: ______________________________________ Date: ____________________
Feb 17, 2024
