Rental Application

Rental Application

Property Information
Property Address:
Contemplated Lease Term:
Contemplated Move-in Date:

How was Applicant referred to Landlord?:
Real Estate Company (name, agent's name, and phone) Newspaper (name) Just Stopped By Sign Other (explain)

Applicant Information
Name:
Phone: (home)	(work)
SSN:	DOB

Applicant Residency For Last 2 Years (start with current residence)
Residence Address 1:
Move-In Date:	Move-Out Date
Landlord or Manager:
Phone:	Rent $

Residence Address 2:
Move-In Date:	Move-Out Date
Landlord or Manager:
Phone:	Rent $

Residence Address 3:
Move-In Date:	Move-Out Date
Landlord or Manager:
Phone:	Rent $

Applicant Employment
Current Employer:
Address:
Supervisor's Name:
Phone:	Mo. Income $
Position:
How Long:

Previous Employer:
Address:
Supervisor's Name:
Phone:	Mo. Income $
Position:
Employment Dates: (start)	(end) $

Co-Applicant Information
Name:
Phone: (home)	(work)
SSN:	DOB

Co-Applicant Residency For Last 2 Years (start with current residence)
Residence Address 1:
Move-In Date:	Move-Out Date
Landlord or Manager:
Phone:	Rent $

Residence Address 2:
Move-In Date:	Move-Out Date
Landlord or Manager:
Phone:	Rent $

Residence Address 3:
Move-In Date:	Move-Out Date
Landlord or Manager:
Phone:	Rent $

Co-Applicant Employment
Current Employer:
Address:
Supervisor's Name:
Phone:	Mo. Income $
Position:
How Long:

Previous Employer:
Address:
Supervisor's Name:
Phone:	Mo. Income $
Position:
Employment Dates: (start)	(end) $

Account Information
Bank at which checking account is located:
Phone: Account #:

Bank at which savings account is located:
Phone: Account #:

Additional Information
Name of all other persons who will occupy the Property:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:

Will any waterbeds or water filled furniture be in the property? Yes No
Will any occupant be smoking in the dwelling? Yes No
Will Applicant maintain a renter's insurance policy? Yes No

List all vehicles to be parked on the Property:
Type: Year: Make: License/State:
Type: Year: Make: License/State:
Type: Year: Make: License/State:

Will there be any pets on the property? Yes No Number of pets:
Type: Breed:
Weight: Age: Gender:
Neutered?: Yes No Declawed: Yes No Rabies Shot Current: Yes No
Other Pets: (e.g. fish, birds, reptiles, etc.) and explain manner in which kept.


Has Applicant ever:
been evicted?: Yes No filed bankruptcy? Yes No
lost property due to foreclosure? Yes No had any credit problems? Yes No
been convicted of a felony? Yes No
If the answer to any of the preceding questions is Yes, explain


If Applicant is a member of the Armed Forces:
Has Applicant requested or received military orders transfering Applicant within one year?: Yes No
Is Applicant serving temporary orders limiting Applicant's stay to one year or less? Yes No

Will any person be signing a Lease Guaranty?: Yes No
Name: Relationship:
Home Phone: Work Phone: Fax:
Address


In case of emergency notify:
Name: Relationship:
Home Phone: Work Phone:
Address


Additional Information