Rental Application

***APPLICANT UNDERSTANDS THAT HE/SHE MUST HAVE GOOD CREDIT & BE ABLE TO OBTAIN A GOOD REFERENCE FROM THE MOST RECENT LANDLORD***

RENTAL APPLICATION

Full Name: __________________________Cell Phone : (_____) _______________
EMAIL ADDRESS: ___________________________________________
Social Security Number: ____-___-_____ Date of Birth _____/____/______
PRESENT ADDRESS: _______________________________________________
How Long at this Address? ______ Rent $_______ Reason for Moving: _____________
Landlord: ______________________ Phone: (______)__________________
Previous Address: ______________________________________________
How Long at this Address? ______ Rent $_______ Reason for Moving? : ____________
Landlord: __________________________ Phone: (______)__________________________
NAME & RELATIONSHIP OF EVERY PERSON TO LIVE WITH YOU (PLEASE INCLUDE AGES)
_______________-______________(_____) _______________-______________(_____)
Name                       Relationship            Age  Name                       Relationship            Age
_______________-______________(_____) _______________-______________(_____)
Name                       Relationship            Age   Name                       Relationship            Age

****NO PETS **** NO PETS **** NO PETS **** NO PETS **** NO PETS ****

Occupation: ____________________ Employer: ________________________
How Long Here? ______ Supervisor: ____________Phone:  (____)___________
Gross Monthly Income: __________ FULL TIME   PART TIME   PRN    (CIRCLE ONE)

Previous Occupation: _________________ Employer:  ______________________

How Long Here? ______ Supervisor: _____________ Phone : (____)___________
Any Other Source of Income & $ Amt: ____________________________________
Vehicle Year: __________ Make: ______________ Model: ___________________
Vehicle Year: __________ Make: ______________ Model: ____________________

Have you ever been evicted or had your home foreclosed? YES NO WHEN: ______

Convicted of a felony? YES NO WHEN: ____

Vehicle Repossessed? YES NO WHEN: ____

Declared bankruptcy or in the process of now? YES NO WHEN: _________

Name and Relationship of References

PERSONAL REFERENCE: ______________-__________ PHONE: (____) ______
CONTACT IN EMERGENCY: ____________-__________ PHONE: (____) _______

I DECLARE THAT THE STATEMENTS ABOVE ARE TRUE AND CORRECT. I AUTHORIZE VERIFICATION OF MY REFERENCES, CREDIT & CRIMINAL BACKGROUND AS THEY RELATE TO MY TENANCY AND TO FUTURE RENT COLLECTION.

DATE: _____________ SIGNATURE: _____________________