Rental Application

 

Generally, people don’t actually fill out the “Credit and Financial Information” section.

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Separate application required from each applicant age 18 or older.

Applicant

Full Name – include all names you’ve used recently:
______________________________________________________________________________________

Home Phone(_____)____________________ Work Phone(_____)_____________________
Social Security Number: __________________ Birth Date:
Driver’s License # & State:________________ Vehicle Make: ______________ Model __________
Color: ____________ Year: ______________

Additional Occupants

List everyone, including children, who will live with you:
Full Name                                                                                                                                      Relationship to Applicant
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Rental History

Current Address: ________________________________________________________________________

Dates Lived at Address: _____________________ Reason for Leaving: ______________________
Landlord/Manager: ________________________ Landlord/Manager Phone: (_____)___________

Previous Address: _____________________________________________________________

Dates Lived at Address: _____________________ Reason for Leaving: ______________________
Landlord/Manager: ________________________ Landlord/Manager Phone: (_____)___________

Previous Address: _____________________________________________________________

Dates Lived at Address: _____________________ Reason for Leaving: ______________________
Landlord/Manager: ________________________ Landlord/Manager Phone: (_____)___________

  

Employment History

Name and Address of Current Employer: ___________________

______________________________________________ Phone: (_____)____________________
Name of Supervisor: _____________________________ Supervisor’s Phone: (_____)__________
Dates Employed at this job: ________________________ Position / Title: ____________________

Name and Address of Previous Employer:___________________

______________________________________________ Phone: (_____)____________________
Name of Supervisor: ______________________________ Supervisor’s Phone: (____)__________
Dates Employed at this job: ___________________________ Position / Title: ____________________

Income

Your gross monthly employment income (before deductions): $________________________
Average monthly amounts of other income (specify sources): $________________________
Other _____________________________________ $________________________
Other _____________________________________ $________________________
Total: $________________________

Credit and Financial Information

Bank / Financial Accounts Bank/Institution Approximate Balance
Savings Account _____________________ _____________ __________________
Checking Account _____________________ _____________ __________________
Other _____________________ _____________ __________________
Bank/Institution Approximate Amount Owed
Credit Card: ______________ ______________________
Credit Card: ______________ ______________________
Loan (car, student load, etc) ______________ ______________________
Other:______________ ______________ ______________________

Miscellaneous

Describe the number and type of pets you want to have in the rental property:____________________
___________________________________________________________________________________
Describe water filled furniture you want to have in the rental property:_____________________
___________________________________________________________________________________
Do you smoke? ___ yes     ____ no
Have you ever:      Filed for bankruptcy? ___ yes     ____ no             Been sued? ___ yes     ____ no
Been evicted? ___ yes     ____ no                           Been convicted of a crime? ___ yes     ____ no
Explain any “yes” listed above: ____________________________________________
__________________________________________________________________________________

References and Emergency Contact

Personal Reference: ________________________ Relationship: ________________________
Phone: (_____)_______________________ Phone: (_____)_______________________
Personal Reference: ________________________ Relationship: ________________________
Phone: (_____)_______________________ Phone: (_____)_______________________
Emergency Contact: ________________________ Relationship: ________________________
Phone: (_____)_______________________ Phone: (_____)_______________________
Emergency Contact: ________________________ Relationship: ________________________
Phone: (_____)_______________________ Phone: (_____)_______________________

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any false or incomplete statement in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, current and previous landlords and employers, and personal references.

Date: _________________________ Applicant:_____________________________________________
Notes (Landlord / Maneger): __________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

 Posted by at 8:54 am

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