Rental Application

Apply for Basement at 1410 17 Ave NW

Takes about two minutes. Our leasing team reviews every application within one business day.

Available now

Basement at 1410 17 Ave NW

1410 17 Ave NW, Edmonton, AB

$1,000.00/mo

What happens next?

We review your application, follow up for references, and book a showing that works for you. Questions first? Contact us.

1.The Basics

Desired move-in date *

# Adults *

# Children

# Pets

2.Applicants

SIN is not collected online. If required for a credit check, our team will request it through a secure channel.

Applicant #1

First name *

Last name *

Date of birth *

Driver's licence # (optional)

Other ID # (optional)

Mobile phone *

Work phone (optional)

Email *

Residency history

Cover the last 5 years, starting with the current home.

Residence 1

From (month/year) *

To (month/year or "present")

Address *

City *

Province

Monthly rent (CAD)

Landlord name

Landlord phone

Landlord is a friend/relative?

Reason for leaving

Employment

Start with the current or most recent employer.

Employer 1

From (month/year)

To (month/year or "present")

Employer

City

Province

Rate of pay (CAD)

Per

Position

Hours/week

Supervisor name

Supervisor phone

3.Children

Optional — list children who will live in the home.

4.Pets

Optional. We may ask for pictures of pets.

5.Additional Information

Are you a student? *

Source of income for rent *

Have you ever been evicted from any rental property? *

6.Emergency Contact

First name *

Last name *

Phone *

Relationship *

7.Consent & Signature

I authorize the Landlord or Landlord's agent to obtain and/or exchange personal information with any landlord or personal information agent, towards establishing or verifying my financial credit standing or tenant history. *

Type your full name as signature *

Dated automatically on submission: October 30, 2026

QAPP Property Management (operating with Century 21 All Stars Ltd.) collects the information in this application to assess your tenancy application, including verifying credit standing and rental history as authorized above, under Alberta's Personal Information Protection Act. Applications not resulting in a tenancy are securely destroyed on our retention schedule. See our Privacy Policy for how we handle personal information and how to reach our privacy contact.