RESIDENTIAL RENTAL APPLICATION (Fivate & confiden ‘al) For inquir 2s about the rental ; roperty, please cont ict: Email: jer rifercaroi987@gma_ com Phone: ( 17)427-1654 Date: 4th of October Friday, 2024, RUNTAL PROPER IY + Type: S' igle Family + Street 5.19 N Stst Ave + State: A >erta + City ; Le ombe + Postal ¢ ide: AB T4L 16 +'Sq. Fun 2: 952sqft + No of be Srooms: 1 + No of be hrooms: 1 + Pet Dep sit None + Lease T wm: Monthly + Monthly ent: $1100 + Damage deposit:$700 + Utilities! ronth: Rent inclusi- e + Parking Garage. DATE O1' AVAILABILITY: « /10/2024 APPLICANT'S INFO 4. Full Nenes:. Abhinav 2.008 26, Seplember, 2001 3. Phone 48-345 3426 4. Email. Abhirq@ burmanu.co 5. SIN(Of sonal). 6. Marital Status. Single +P its allowed + No moking indoors + No Partying C -APPLICANT'S IN #0 (IF APPLICABLE 1, Full Names: 2.0.08: 3. Phone: 4. Email. 5. SIN(Optional). 6. Relation to ap icantRENTAL HISTORY + Current address ( where you reside n2w): i. tow long have you een residing at this address? G+ mothe ii Reasons(s) for leav ng this address 710+ Monthly rent: Locking fer can Space + Landion 's name: Dan Crombie + Landlorc's Contact number: Ko - 304 Ol.o0 7. Previous address (if Applicable): i. tow long did you st y at this address? AX years ii Reasons for leaving this address: gmalley space wanted +Monthiy ‘ent, 11SOS + Utilities *Landiore’s name: Anna Marie + Landiore’s Contact number: 403- 34@ 6508 i. dave you ever been evicted from a rente residence? YES ii Have you missed ty 0 or more rental pay ments in the last 12 ‘months? YES ill. dave you ever refus +4 to pay rent when tue? YES orfi0) If you ha: e answered YES to any of the above, pl ase state your reas »ns10and/or circumste ices:1, Cu rent employmeni status: Fu -tme (]+ Partime 4 Student 4 Une nployed [Retires () + Current soya talie v. Contact number: Univers" + Supervisor: Pon Schefer v Contact number: 493- 3a, 6404 sobttle Junior Acronaives Cech Coordinalor. @Mner Gym Loork +Date Hird: May 1, Qorh Monthly ncome: $ $1500 -51400 Other sox ‘ces of Income: _ ate 2. Frevious employm ent: «Previou: employer (if any) vi. Contact umber: *Supervii or: vii. Contac number: + Job title + Period c’ employment.10__ PROOF OF INCOMEThe apjlicant is require 1 to attach prooi of their income to this rental application form. Accept: ble documentat on includes pay stubs, employes letter (Certificate, bank staten.ents or copies « f the previous y 2ar's tax return AL DITIONAL ye oO 4. Wh2n do you intenc to move in? A& Soon as pes - How long do you ple1on renting? At the least, 1 year 2. When do you wish t> receive the ke ‘s and documerts tothe house? (As soon as depos: is paid)—> As soon as possible 3. Where do you wish o rorerve De keys and docume its to the house? Wherever mail wnorks easi 4. Rer Udeposit availal le? YES br NO - Earliest possib e date of paym« nt. Tommowad | declar ? that the information | have proided is true, coirect and contain:: no misreprese:itations. If misre presentations a e found after a reside ntial lease agre :ment is enterec into between tl e landlord and applicarit, the landlord shall have the of tion to terminate the residen ial lease and se 2k all available :emedies. The ap} icant authorize ; the landlord to verify all referer ces and facts, includin 3 but not limited to current and f revious landlorc s, employers and personal reference:, The ap; licant understar ds that incorrec: or incomplete i formation provide { in the application may cause e delay in proces singor may result ir the denial of ar plication. Best Regards, Jennife. Carol Landlor i's Signature “ori sinature