Rental Application

Separate application required from each applicant age 18 or older.

Date and time received by landlord:_______________________________________________________________________________

Application fee_______________________________________________ Received:_________________________________________

This section to be completed by landlord

Address of Property to Be Rented:________________________________________________________________________________

††††††††††††††† Rental Term:††††††††††††††† †††□ month-to-month††††††††††††††††††† x lease from____________________ ††† ______________________

††††††††††††††† Amounts due prior to occupancy

††††††††††††††††††††††††††††††† First monthís rent------------------------------------------------------------------------------- ††† $_______________________ †† ††

††††††††††††††††††††††††††††††† Security deposit--------------------------------------------------------------------------------- ††† $_______________________ †††

††††††††††††††††††††††††††††††† Other (specify):Pet Deposit (2 dogs)____________________________________ ††† $_______________________ †††

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† TOTAL-------------------- ††† $_______________________

 

Applicant

Full Nameóinclude all names you have used: ______________________________________________________________________

Home Phone: ††††††††††††††††††††††††††††††† Work Phone:_________________ Cell:___________________ Email: _______________________ ††Social Security Number:††††††††††††††††††††††††††††††††††††††† ††††††††††††State Driverís License Number/ID: ________________ DOB: _________________________

Vehicle Make:________________________________ Model:______________________ Color:________________ Year:___________

License Plate Number/State:______________________________________________________________________________________

 

Additional Occupants

List everyone, including children, who will live with you:

Full Name†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Relationship to Applicant†††††††† Date of Birth

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

 

Rental history

FIRST-TIME RENTERS: ATTACH A DESCRIPTION OF YOUR HOUSING SITUATION FOR THE PAST FIVE YEARS.

 

Current Address:_______________________________________________________________________________________________

Dates Lived at Address: †††††††††††††††††††††††††††††††††††††† †††††††††Rent $††††††††††††††††††††††††††† †† ††Security Deposit $†††††††††††††††††††††††††† †††††††† ††††††††††††††††††††††

Landlord/Manager:_______________________________________ Landlord/Managerís Phone:______________________________

Reason for Leaving:____________________________________________________________________________________________

 

Previous Address:______________________________________________________________________________________________

Dates Lived at Address: †††††††††††††††††††††††††††††††††††††† †††††††††Rent $††††††††††††††††††††††††††† †† ††Security Deposit $†††††††††††††††††††††††††† †††††††† ††††††††††††††††††††††

Landlord/Manager:_______________________________________ Landlord/Managerís Phone:______________________________

Reason for Leaving:____________________________________________________________________________________________

Previous Address:______________________________________________________________________________________________

Dates Lived at Address: †††††††††††††††††††††††††††††††††††††† †††††††††Rent $††††††††††††††††††††††††††† †† Security Deposit $††††††††††††††††††††††††††††† †††††††† ††††††††††††††††††††††

Landlord/Manager:_______________________________________ Landlord/Managerís Phone:______________________________

Reason for Leaving:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††

Employment History

SELF-EMPLOYED APPLICANTS: ATTACH TAX RETURNS FOR THE PAST TWO YEARS

Name Current Employer:_________________________________________________________________________________________

Address:________________________________________________________________ Phone:_______________________________

Name of Supervisor:______________________________________________ Supervisorís Phone:____________________________

Dates Employed at This Job:_______________________________________ Position or Title:_______________________________

 

Name of Previous Employer:_____________________________________________________________________________________

Address:________________________________________________________________ Phone:_______________________________

Name of Supervisor:______________________________________________ Supervisorís Phone:____________________________

Dates Employed at This Job:_______________________________________ Position or Title:_______________________________

Name and Address of Previous Employer:__________________________________________________________________________

Address:________________________________________________________________ Phone:_______________________________

Name of Supervisor:______________________________________________ Supervisorís Phone:____________________________

Dates Employed at This Job:_______________________________________ Position or Title:_______________________________

 

ATTACH PAY STUBS OR W-2íS FOR THE PAST TWO YEARS, FROM THIS EMPLOYER OR PRIOR EMPLOYERS.

Income

1.†††† Your gross monthly employment income (before deductions):†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† $_____________________

2.†††† Average monthly amounts of other income (specify sources)†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† $_____________________ †††††††††††††††††††

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† TOTAL:†††††††††††††††††††††††††††††††††† $_____________________

 

Bank/Financial Accounts

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Account Number††††††††††††††††††††††††††† Bank/Institution†††††††††††††††††††† Branch††††††††††††††††††††††††††† ††††

Savings Account:_______________________________________________________________________________________________

Checking Account:_____________________________________________________________________________________________

Other Checking or Savings Accounts: _____________________________________________________________________________

 

Credit Card Accounts

Major Credit Card:†† □ VISA††††††††† □ MC††††††† □ Discover □ Am Ex†††††† □ Other:††††††††††††††††††††††††††††††††††††††††††††††††††

Issuer:__________________________________________________ Account Number:_______________________________________

Balance $_______________________________________________ Average Monthly Payment: $_____________________________

 

Major Credit Card:†† □ VISA††††††††† □ MC††††††† □ Discover □ Am Ex†††††† □ Other:††††††††††††††††††††††††††††††††††††††††††††††††††

Issuer:__________________________________________________ Account Number:_______________________________________

Balance $_______________________________________________ Average Monthly Payment: $_____________________________

 

Loans

Type of Loan (mortgage, ††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Amount††††††††††††† Monthly

car, student loan, etc.)††††††††††††††††††††††††††††† Name of Creditor†††††††††††††††††††††††††† Account Number†††††††††††††††††††††† Owed††††††††††††††† Payment

________________________________ ††† __________________________ ††† ____________________ ††† ____________ ††† ____________

________________________________ ††† __________________________ ††† ____________________ ††† ____________ ††† ____________

________________________________ ††† __________________________ ††† ____________________ ††† ____________ ††† ____________


Other Major Obligations

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Amount††††††††††††† Monthly

Type†††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Payee†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Owed††††††††††††††† Payment

________________________________ ††† ________________________________________________ ††† ____________ ††† ____________

________________________________ ††† ________________________________________________ ††† ____________ ††† ____________

 

Miscellaneous

Describe the number and type of pets you want to have in the rental property:____________________________________________

______________________________________________________________________________________________________________

Describe water-filled furniture you want to have in the rental property:___________________________________________________

______________________________________________________________________________________________________________

Do you smoke?†††† □ yes†† ††† □ no

Have you ever:†††† Filed for bankruptcy?††††††††††††††††††††††††††††††††††††††††††††††† □ yes†††††††††† □ no†† How Many times?_____________________

††††††††††††††††††††††††††††††† Been Sued or sued someone else?†††††††††††††††††††††††† □ yes†††††††††† □ no†† How Many times?_____________________

††††††††††††††††††††††††††††††† Been evicted from a rental property?††††††††††††††††††††† □ yes†††††††††† □ no†† How Many times?_____________________

††††††††††††††††††††††††††††††† Been convicted of any felonies or misdemeanors?††††† □ yes†† □ no†† How Many times?_____________________

††††††††††††††††††††††††††††††† Had a home foreclosure?†††††††††††††††††††††††††††††††††††††††† □ yes†††††††††† □ no†† How Many times?_____________________

Explain any ďyesĒ listed above:___________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________

 

References and Emergency Contact

Personal Reference:______________________________________________________ Relationship:__________________________

Address:______________________________________________________________________________________________________

________________________________________________________________________ Phone:_______________________________

 

Personal Reference:______________________________________________________ Relationship:__________________________

Address:______________________________________________________________________________________________________

________________________________________________________________________ Phone:_______________________________

 

Emergency Contact:______________________________________________________ Relationship:__________________________

Address:______________________________________________________________________________________________________

________________________________________________________________________ Phone:_______________________________

 

Source

Where did you learn of this vacancy?______________________________________________________________________________

______________________________________________________________________________________________________________

 

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, current and previous landlords and employers, and personal references. This permission will survive the

expiration of my tenancy.

 

________________________________________________________________________________ ††† ____________________________

Applicant††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Date