Rental Application

 

Today’s Date:

 

Date Residence required:

Applicant Name:

 

SS#:

 

Other Applicants (each applicant should complete separate applications):

 

Address:

 

 

 

Phone:

Fax:

 

How long have you lived at this address:

Email:

 

Occupation:

Salary:

How long at present job:

 

Present Employer:

 

    Address:

 

    Phone:

 

 

 

Vehicle (s) Make/Model and License number:

 

1

 

2

 

 

 

How many tenents do you plan on having in the house? _____  Primary Applicatant Name:

 

Pets

 

Do you plan to have a pet?

□       Yes

□       No

 

Note: $250 extra deposit

 

 

 

Please describe:

 

 

 

 

PERSONAL REFERENCES (include at least 2)

Reference #1

Name

 

Address

 

 

Phone

Reference #2

Name

 

Address

 

 

Phone

CREDIT REFERENCES

Previous Landlord

Name

 

Phone

 

 

Address

Credit/Bank

Account #

 

Phone

 

Contact person

 

Name of bank

 

Address

 

I represent that the above information is true. I authorize leasor to make such credit investigation, including contacting the above references and banks and obtaining credit reports.  I authorize all references, banks, and credit reporting agencies to disclose to any and all information concerning the financial and credit history.

Applicatant’s signature:

Printed name:

Date: