Rent Application

Rental Application

Notice: All adult applicants (18 years or older) must complete a separate application for rental

APARTMENT

RENT

START DATE

AGENT

APPLICANT INFORMATION

FIRST NAME

LAST NAME

M.I

SSN

DRIVER'S LICENSE #

BIRTH DATE

HOME PHONE

WORK PHONE

CELL PHONE

CURRENT ADDRESS

STREET ADDRESS

CITY

STATE

ZIP

DATE IN

DATE OUT

LANDLORD NAME

LANDLORD PHONE

MONTHLY RENT

REASON FOR LEAVING

OTHER OCCUPANTS

NAMES AND BIRTH DATES OF ALL DEPENDANTS 18 YEARS OR YOUNGER

LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR OLDER

PETS

PETS?

DESCRIBE

EMPLOYMENT & INCOME INFORMATION

1.OCCUPATION

EMPLOYER/COMPANY

MONTHLY SALARY

SUPERVISOR NAME

SUPERVISOR PHONE

START DATE

END DATE

2. OCCUPATION

EMPLOYER/COMPANY

MONTHLY SALARY

SUPERVISOR NAME

SUPERVISOR PHONE

START DATE

END DATE

1. OTHER INCOME DESCRIPTION

MONTHLY INCOME

2. OTHER INCOME DESCRIPTION

MONTHLY INCOME

EMERGENCY CONTACT

1. NAME

ADDRESS

PHONE

RELATIONSHIP

2. NAME

ADDRESS

PHONE

RELATIONSHIP

PERSONAL REFERENCES

1. NAME

ADDRESS

PHONE

RELATIONSHIP

2. NAME

ADDRESS

PHONE

RELATIONSHIP

BACKGROUND INFORMATION

HAVE YOU EVER:

FILED FOR BANKKRUPTCY

WILLFULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN DUE?

BEEN EVICTED FROM A TENANCY OR LEFT OWING MONEY? IF YES, PLEASE PROVIDE PROPERTY NAME, CITY, STATE, AND LANDLORD NAME. YesNo

DO YOU SMOKE? YesNo

BEEN CONVICTED OF A CRIME? IF YES, PLEASE PROVIDE TYPE OF OFFENSE, COUNTY, AND STATE. YesNo

VEHICLE INFORMATION

1. MAKE & MODEL

YEAR

LICENSE NO. & STATE

2. MAKE & MODEL

YEAR

LICENSE NO. & STATE

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.