RENTAL APPLICATION

Unit Applying For: __________________________________

1.

APPLICANT INFORMATION

Applicant #1: _________________________________ Suffix: ____________________

Any other name(s) used: _______________________________________
SS# _______ - _______ - ______ Date of Birth _____ - ____ - _______ DL# ____________
Applicant #2: _________________________________ Suffix: ____________________
Any other name(s) used: _______________________________________
SS# _______ - _______ - ______ Date of Birth _____ - ____ - _______ DL# ____________

2.

CURRENT AND PREVIOUS RENTAL/OWNERSHIP HISTORY

Current Address: ______________________ City: ___________________ State: __________ Zip:

__________
[check one]

Own ______
$_______ (monthly rent/mortgage)
Rent ______
$_______ (total monthly utilities)
If Rent, Landlords Ph#: (_____) ______ - _____ Name: ________________________________
Move in date: _____ - _____ - _____ Notice given: _____ - _____ - _____
Previous Address: ______________________ City: ___________________ State: __________ Zip:
__________
[check one]

Own ______
$_______ (monthly rent/mortgage)
Rent ______
$_______ (total monthly utilities)
If Rent, Landlords Ph#: (_____) ______ - _____ Name: ________________________________
Move in date: _____ - _____ - _____ Notice given: _____ - _____ - _____
3.

EMPLOYMENT INFORMATION

Applicant #1 Employer: ____________________________________

Email: _____________________________
Address: _________________________ City: _____________ State: _____ Zip: __________
Human Resources: Ph# (_____ ) _______ - _______ Position: ____________________
Hire date: _____/_____/____ Salary: $ __________ Hr. / Mo. / Yr.
Applicant #2 Employer: ____________________________________
Email: _____________________________
Address: _________________________ City: _____________ State: _____ Zip: __________
Human Resources: Ph# (_____ ) _______ - _______ Position: ____________________
Hire date: _____/_____/____ Salary: $ __________ Hr. / Mo. / Yr.

GENERAL INFORMATION
Automobile 1: _______________________________________________________________________
Make
Year Model
License #
Automobile 2: _______________________________________________________________________
Make
Year Model
License #
Checking Account:
_______________________________________________________________________
Bank Name
Account #
Savings Account:
_______________________________________________________________________
Bank Name
Account #
Personal References:
1.
____________________________________________________________________________________
2.
____________________________________________________________________________________
3.
____________________________________________________________________________________
Additional Occupants Information:
________________________________________________________________

Have you ever been a party to an eviction? Yes / No (CIRCLE ONE)

Have you ever filed Bankruptcy? Yes / No, if YES, date and jurisdiction: ________________________
Have you ever been convicted of a Crime? Yes / No (If Yes, please explain on back of application)
Do you have any Credit Cards? Yes / No
Total Balance Due $ _______________________________
Do you have any Loans ? Yes / No
Total Balance Due $ _______________________________
Do you have any pets? (Please indicate type and size) ________________________________________
Please provide the best phone number to reach you: (_____ ) _______ -_______
I/WE DECLARE THAT ALL INFORMATION GIVEN IN THIS APPLICATION IS TRUE
AND CORRECT AS I/WE VERILY BELIEVE. I/WE AUTHORIZE LANDLORD TO VERIFY AND
OBTAIN A CREDIT REPORT, VERIFY LANDLORDS, EMPLOYMENT AND CRIMINAL
REPORTS AND EXPRESSLY WAIVE ANY AND ALL LEGAL CLAIMS FOR RELIEF AGAINST
LANDLORD AND HIS/HER AGENTS, AFFILIATES, AND EMPLOYEES FOR EXERCISING
SAID VERIFICATION.
___________________________________
APPLICANT #1 - SIGNATURE DATE

____________________________________
APPLICANT #2 - SIGNATURE DATE