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RENTAL APPLICATION
Equal Housing Opportunity
Property to Rent
Property Address
Move-in Date
Monthly Rent
$
Lease Term (months)
Please Tell Us About Yourself
Full Name
*
Middle Name
Last Name
*
Date of Birth
Social Security #
Email
Home Phone
*
Other Phone
Co-Applicant Name
Co-Applicant DOB
Co-Applicant SSN
Names of Dependents
Dependents Date of Birth
No Pets Allowed
Our properties do not allow pets of any kind. No exceptions.
Residential History (Last 3 Years)
Current Address
Apt #
City
State
Zip
Month/Year Moved In
Reasons for Leaving
Rent
$
Owner/Agent
Phone
Previous Address (last 3 years)
City
State
Rent
$
Owner/Agent
Phone
Credit History
Have you declared bankruptcy in the past seven (7) years?
Yes
No
Have you ever been evicted from a rental residence?
Yes
No
Have you had two or more late rental payments in the past year?
Yes
No
Have you ever willfully or intentionally refused to pay rent when due?
Yes
No
Employment Information
Your Status
Full Time
Part Time
Student
Self-Employed
Unemployed
Self-Employment Details
Business Name
*
Type of Business
*
How Long in Business
Average Monthly Income
$
3 Key Customers as References (required)
Customer 1 - Name
*
Phone
*
Relationship / Service
Customer 2 - Name
*
Phone
*
Relationship / Service
Customer 3 - Name
*
Phone
*
Relationship / Service
Employer
Dates Employed
Employed As
Supervisor Name
Phone
Salary
$
Per
Select
Hour
Week
Bi-Weekly
Month
Year
Previous employer (if less than 12 months at current)
Other sources of income (optional)
You do not have to reveal alimony, child support, or spouse's income unless you want us to consider it.
Amount
$
Source
Contact Name
Contact Phone
References
Banking Accounts
Bank Name
Account Type
Account #
Bank Name 2
Account Type
Account #
Personal Reference or Emergency Contact
Name
Address
Phone
Relationship
Driver's License
License Number
State
Vehicle Information
Make / Model
Year
License Plate
State
Additional Information
Any additional information that might help us evaluate this application?
Day Phone #
Night Phone #
Authorization & Signature
I hereby apply to lease the above described premises and agree that the rental is to be payable the first day of each month in advance. I warrant that all statements above set forth are true.
I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting from this owner/manager.
I authorize background/credit check
The above information is true and correct
*
Signature (type your full name)
Date
Submit Application
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