Rental Application

Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.

Personal Information

Name*

First Last

SSN #*

Date of Birth*

Marital Status*

Drivers License # & State*

Cell Phone Number*

Email Address*

Current Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Length of time*

Rent Amount*

Is the present rent up to date?*

Landlord Name*

Landlord Phone*

Reason For Leaving*

Previous Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Length of time

Rent Amount

Was the rent up to date?

Landlord Name

Landlord Phone

Reason For Leaving

Proposed Occupants

Name

Relationship

Occupation

Age

Name

Relationship

Occupation

Age

Name

Relationship

Occupation

Age

Name

Relationship

Occupation

Age

Name

Relationship

Occupation

Age

Proposed Pets

Name

Type/Breed

Indoor/Outdoor

Age

Name

Type/Breed

Indoor/Outdoor

Age

Name

Type/Breed

Indoor/Outdoor

Age

Vehicle(s) Information

Year/Make/Model/Color

Plate # & State

Year/Make/Model/Color

Plate # & State

Employment

Current Employer

Occupation

Hours/Week

Supervisor

Phone

Years employed

Address

Street Address City State / Province / Region

Current Employer

Occupation

Hours/Week

Supervisor

Phone

Years employed

Address

Street Address City State / Province / Region

Income

Income Source

Current Income Amount

How often?

Proof of income?

Income Source

Current Income Amount

How often?

Proof of income?

Current Income Amount

Income Source

How often?

Proof of income?

Credit Card/Financial Information

Car Loan Lien Holder

Balance Owed

Monthly Payment

Creditors Phone #

Credit Card Company

Balance Owed

Monthly Payment

Creditors Phone #

Credit Card Company

Balance Owed

Monthly Payment

Creditors Phone #

List Child Support/Other Credit Owed

Name of Bank - Bank Account

Bank Balance

Account Number

Emergency / Personal Reference Information

Emergency Contact

Relationship

Phone Number

Address

Emergency Contact

Relationship

Phone Number

Address

Personal Reference

Relationship

Phone Number

Address

Personal Reference

Relationship

Phone Number

Address

Emergency / Personal Reference Information

Has applicant ever been sued for bills?*

Has applicant ever been locked out of their apartment by the sheriff?*

Has applicant ever been bankrupt?*

Has applicant ever been brought to court by another landlord?*

Has applicant ever been guilty of a felony?*

Has applicant ever moved owing rent or damaged an apartment?*

Has applicant ever broken a Lease?*

Is the total move-in amount available now (rent and deposit)?*

Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.

ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

Applicant Signature*

Signing your name authorizes the release of criminal history data from court and law enforcement sources. This authorization is valid for one year. If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.

Date*

Notes

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Personal Information

Proposed Occupants

Proposed Pets

Vehicle(s) Information

Employment

Income

Credit Card/Financial Information

Emergency / Personal Reference Information

Emergency / Personal Reference Information

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