Rental Application Form First Name * Last Name * Email * Phone * Current Address * Unit/Suite # City * Province * Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Years at Current Address * Select Years less than 1 1 2 3 4 5 or more Date of Birth * SIN Number (optional) Employer * Occupation * Length of Employment * Select Duration under 6 months under 12 months 1 - 2 years 2 - 3 years 3 years or more Work Phone * Are You Self-Employed? * Select Option Yes No Annual Income * Select Income under $20,000.00 $20,000.00 - $30,000.00 $30,000.00 - $40,000.00 $40,000.00 - $50,000.00 $50,000.00 - $60,000.00 $60,000.00 - $70,000.00 over $70,000.00 Amount for Security Deposit/Hold Fee * Which Property Are You Interested In? * Select a property 65 Martindale Court NE, Calgary AB (For Rent) 603-2066 Luxstone Blvd SW, Airdrie AB (For Rent) 262 Luxstone Road SW, Airdrie AB (For Sale) 203-2066 Luxstone Blvd SW, Airdrie AB (For Sale) Applying With a Co-Applicant? * No Yes Co-Applicant Information First Name * Last Name * Email * Phone * Current Address * Unit/Suite # City * Province * Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Years at Current Address * Select Years less than 1 1 2 3 4 5 or more Date of Birth * SIN Number (optional) Employer * Occupation * Length of Employment * Select Duration under 6 months under 12 months 1 - 2 years 2 - 3 years 3 years or more Work Phone * Are You Self-Employed? * Select Option Yes No Annual Income * Select Income under $20,000.00 $20,000.00 - $30,000.00 $30,000.00 - $40,000.00 $40,000.00 - $50,000.00 $50,000.00 - $60,000.00 $60,000.00 - $70,000.00 over $70,000.00 Additional Comments / Questions (optional) Main Applicant Signature * Clear Signature Co-Applicant Signature * Clear Signature By attaching my digital signature to this application, I confirm that I have read, understand, and agree with the Empire Citi Properties Ltd. Terms of Use, CASL and Privacy Statement, and Terms and Conditions. By pressing Submit, I confirm that I have read, understand, and agree with the Empire Citi Properties Ltd. Terms of Use, CASL and Privacy Statement, and Terms and Conditions. Submit
