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RENTAL APPLICATION FORM
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RENTAL APPLICATION FORM
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Rental Application Form
Notice: All adult applicants (18 years or older) must complete a separate application for rental.
APPLICANT INFORMATION
First Name
*
Last Name
*
M.I.
SSN
*
DRIVER LICENSE #
*
BIRTH DATE
*
HOME PHONE
WORK PHONE
CELL PHONE
CURRENT ADDRESS
STRET ADDRESS
*
CITY
*
STATE
*
ZIP
*
DATE IN
*
DATE OUT
*
LANDLORD NAME
*
LANDLORD PHONE
*
MONTHLY RENT
*
REASON FOR LEAVING
*
PREVIOUS ADDRESS
STRET ADDRESS
*
CITY
*
STATE
*
ZIP
*
DATE IN
*
DATE OUT
*
LANDLORD NAME
*
LANDLORD PHONE
*
MONTHLY RENT
*
REASON FOR LEAVING
*
OTHER OCCUPANTS
LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR OLDER
*
LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR YOUNGER
*
PETS
PETS?
*
YES
NO
DESCRIBE
EMPLOYMENT & INCOME INFORMATION
1. OCCUPATION
*
EMPLOYER/COMPANY
*
DATE IN
*
DATE OUT
SUPERVISOR NAME
*
SUPERVISOR PHONE
*
OTHER INCOME DESCRIPTION
2. OCCUPATION
*
EMPLOYER/COMPANY
*
DATE IN
*
DATE OUT
SUPERVISOR NAME
*
SUPERVISOR PHONE
*
OTHER INCOME DESCRIPTION
EMERGENCY CONTACT 1
NAME
*
ADDRESS
*
PHONE
*
PERSONAL PREFERENCE 2
NAME
ADDRESS
PHONE
EMERGENCY CONTACT 2
NAME
ADDRESS
PHONE
PERSONAL PREFERENCE 1
NAME
ADDRESS
PHONE
BACKGROUND INFORMATION
HAVE YOU EVER:
*
1. Filed for bankruptcy?
2. Willfully or intentionally refused to pay rent when due?
3. Been evicted from a tenancy or left owing money? If yes, please provide Property Name, City, State, and Landlord Name
4. Been convicted of a crime? If yes, please provide Type of Offense, County, and State.
5. None of above
PLEASE DESCRIBE IF CHECKED FROM 1 TO 4
VEHICLE INFORMATION
1. MAKE & MODEL
*
YEAR
*
LICENSE NO. & STATE
*
2. MAKE & MODEL
YEAR
LICENSE NO. & STATE
OTHER VEHICLES
OTHER INFORMATION
HOW DID YOU HEAR ABOUT THIS PROPERTY?
PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION
I hereby apply to lease the above described premises for the term and upon the conditions above set forth and agree that the rental is to be payable the 1st day of each month in advance. I warrant that all statements above set forth are true.
I hereby give my permission to communicate with my current and former landlord or property manager for the purpose of discussing any and all of the facts and circumstances of my current or former tenancy, as well as the other information listed above. I also give my permission to communicate with my current employer(s) and/or supervisor(s) for the purpose of verifying the employment information listed above. I understand there are no limitations or restrictions regarding what may be discussed or revealed. I am aware that a credit history, eviction search and criminal background check will be done in conjunction with my application. I understand that I may have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.
SIGN OF APPLICANT
*
Sign Date
*
Submit
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