Rental Application

RENTAL APPLICATION

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

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: _____________

 PERSONAL REFERENCE:

 NAME: ______________________________-_______________ PHONE: (____) ___________

                 FIRST                           LAST                      RELATIONSHIP

CONTACT IN EMERGENCY:

NAME: ______________________________-______________ PHONE: (____) ____________

                FIRST                           LAST                     RELATIONSHIP

 

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

 

DATE: _____________________ SIGNATURE: ________________________________________