RENTAL APPLICATION
PERSONAL INFORMATION
APPLICANT’S FULL NAME: DL#:
Date of Birth (for credit reporting only):
OTHER RESIDENTS DL# AGE RELATION
Pets? What kind? How Many?
Does anyone that will be living here smoke?
Other Remarks:
RESIDENCE HISTORY
PRESENT ADDRESS: City/State/Zip:
Present Telephone: Length of time @ present address:
Present Landlord or Mortgage holder/phone:
Amount of Rent $ Reason for Moving:
PREVOIUS ADDRESS: City/State/Zip:
Previous Telephone: Length of time @ previous address:
Previous Landlord or Mortgage holder/phone:
Amount of Rent $ Reason for Moving:
EMPLOYMENT INFORMATION
EMPLOYED BY: How Long:
Employer Address: Telephone:
Position Held:
Social Security No.: Supervisor:
Gross Income per month:
CO-RESIDENTS’ EMPLOYER: How Long:
Employer Address: Telephone:
Position Held:
Social Security No.: Supervisor:
Gross Income per month:
If you are applying for a lease with option to buy, please indicate the amount of money
that you can put down towards the option/purchase ?$
BANKING AND CREDIT REFERENCES
BANK #1 BRANCH: Checking Account #: Savings Account #:
BANK #2 BRANCH: Checking Account #: Savings Account #:
CREDIT REFERENCES: Account #: Address:
CREDIT REFERENCES: Account #: Address:
OTHER INFORMATION
Number of automobiles (Including Company Cars):
Make: Year: Color: Tag #: State:
Make: Year: Color: Tag #: State:
Make: Year: Color: Tag #: State:
Have you ever or do you plan on filing for bankruptcy? Explain:
Do you currently have any outstanding judgments? If yes explain:
Check if you have any of the following skills: Carpenter Electrical Air Conditioning
Painting Furnace Repair Plumber
In Case of an emergency, Notify: Relationship:
Address: Telephone:
CREDIT INVESTIGATION AND DISCLOSURE
I understand that any false or incomplete information can disqualify me for the rental that I am applying to rent. I also understand that any false information may later invalidate my lease
at the owners request.
_________________has the right to investigate my Applicants’ Signature: _______
credit, employment and income records, and has
the right to verify my credit and character references, CO-Signed:
and to report the way I pay this account to any consumer
reporting agency. My credit report can be pulled before,
during, or after tenancy. Date Signed:
FOR OFFICE USE ONLY- DO NOT WRITE BELOW
Date Application Received: Received by:
Record of Advance Deposits ReceivedDate Description Amount This Application: Approved Not approved
Date: Date:
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