Rental Application SEPARATE APPLICATION REQUIRED FROM EACH APPLICANT AGE 18 OR OLDER
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This section to be completed by landlord
Address of Property to be Rented:_________________________________________________________
Rental Term: [ ] month to month [ ] lease from______________________to______________________
Amounts Due Prior to Occupancy: First month’s rent $____________________
Security deposit $____________________
Credit check fee $____________________
Other (specify): $____________________
TOTAL: $____________________
Applicant
Full Name- include all names you use(d):_________________________________________________________________
Home Phone:__________________ Work Phone:______________________ Cell Phone:__________________________
Email:_____________________________________________________________________________________________
Social Security Number:_________________________ Driver’s License Number/ State:___________________________
Other Identifying Information:_________________________________________________________________________
Vehicle Make:____________________ Model:_____________________ Color:____________________Year:__________
License Plate Number/ State:______________________________
Additional Occupants: List everyone, including minor children, who will live with you.
Full Name Relationship to Applicant
_______________________________________ ________________________________________
_______________________________________ ________________________________________
_______________________________________ ________________________________________
_______________________________________ ________________________________________
Please provide the following information if the Lease Agreement will be guaranteed, in accordance with the Rental Selection Criteria of Property Manager or Landlord.
Name of Guarantor:________________________________________ Relationship:_______________________________
SSN:_________________________ Date of Birth:_______________ Email:_____________________________________
Address:____________________________________________________________Phone #:________________________
Rental History: First-time renters: Attach a description of your housing situation for the past five years.
Current Address:_____________________________________ Dates Lived at Address:___________________________
Reason for Leaving:___________________________________ Landlord/ Manager:______________________________
Landlord/ Manager’s Phone:_________________________ Rent: $_______________ Security Deposit: $_____________
Previous Address:_____________________________________ Dates Lived at Address:___________________________
Reason for Leaving:___________________________________ Landlord/ Manager:______________________________
Landlord/ Manager’s Phone:_________________________ Rent: $_______________ Security Deposit: $_____________
Previous Address:_____________________________________ Dates Lived at Address:___________________________
Reason for Leaving:___________________________________ Landlord/ Manager:______________________________
Landlord/ Manager’s Phone:_________________________ Rent: $_______________ Security Deposit: $_____________
Employment History: Self-employed applicants: Attach tax returns for the past two years.
Name & Address of Current Employer:___________________________________________________________________
Phone:____________________ Name of Supervisor:_________________________ Supervisor’s Phone:______________
Dates Employed at this Job:______________________________ Position or Title:________________________________
Name & Address of Previous Employer:__________________________________________________________________
Phone:____________________ Name of Supervisor:_________________________ Supervisor’s Phone:______________
Dates Employed at this Job:______________________________ Position or Title:________________________________
Attach pay stubs 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 _________________________ _________________________ _____________________
Money Market or Similar Account ______________________ _________________________ _____________________
Credit Card Accounts
Major Credit Card: [ ] VISA [ ] MC [ ] Discover Card [ ] Am Ex [ ] Other:____________ Balance: $___________
Issuer:____________________ Account #:_________________________ Average Monthly Payment: $______________
Major Credit Card: [ ] VISA [ ] MC [ ] Discover Card [ ] Am Ex [ ] Other:____________ Balance: $___________
Issuer:____________________ Account #:_________________________ Average Monthly Payment: $______________
Loans
Type of Loan Name of Creditor Account Number Amount Owed Monthly Payment
(mortgage, car, student loan, etc)
____________________ ______________________ _____________________ _______________ _______________
____________________ ______________________ _____________________ _______________ _______________
____________________ ______________________ _____________________ _______________ _______________
Other Major Obligations
Type Payee Amount Owed Monthly Payment
____________________ ______________________ _____________________ _______________
____________________ ______________________ _____________________ _______________
Miscellaneous
Describe the number & 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? [ ] Yes [ ] No How many times________ Sued someone else? [ ] Yes [ ] No How many times________
Been evicted? [ ] Yes [ ] No How many times_______ Been convicted of a crime? [ ] Yes [ ] No How many times____
Explain any “Yes” listed above:_________________________________________________________________________
References & Emergency Contact
Personal Reference:_________________________ Relationship:____________________ Phone:___________________
Address:___________________________________________________________________________________________
Personal Reference:_________________________ Relationship:____________________ Phone:___________________
Address:___________________________________________________________________________________________
Contact in Emergency:_______________________ Relationship:____________________ Phone:___________________
Address:___________________________________________________________________________________________
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 information provided in this application from my credit sources, current and previous landlords and employers, and personal references. I give permission for the landlord or its agent to obtain a consumer report about me for the purpose of this application, to ensure that I continue to meet the terms of the tenancy, for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose.
Applicant Signature:_____________________________________________ Date:____________________
Guarantor Signature:_____________________________________________ Date:____________________
Notes (Landlord/ Manager):___________________________________________________________________________
__________________________________________________________________________________________________