RENTAL APPLICATION
Name ________________________________ Home Phone
____________________
Soc. Sec. No. ____________ Work Phone __________
Driver's license ____________
Present Address
___________________________________________ How long at this address? _______
Rent $ ___________ Reason for Moving ______________________
________________________ Owner/Manager ________________ Phone _________
Previous Address __________________________________________
How long at this address? _______ Rent $ ___________ Reason for Moving
_______________________ _________________________ Owner/Manager
_________________ Phone ________
Name and relationship of every person to live with
you, even if only temporarily (include
names and ages of minors): ________________________________________________
______________________________________________________________________
Any pets? ______ Describe
________________________________ Waterbed? ______
Occupation __________________ Employer
_____________________ Phone ________
Duration of Employment _______ Supervisor ______________________ Phone
_______
Previous Occupation _________________ Employer
________________ Phone _______
Duration _________ Supervisor
_______________________________ Phone ________
Current Gross Income Per Month (before deductions) $
___________________________
List sources of income (other than employment listed
above ________________________ ______________________________________________________________________
Savings Acct.. _________ Branch ______________
Acct.. No. ______________________
Checking Acct. ________ Branch ______________ Acct..
No. _____________________
Major Credit Card __________ Acct. No.
________________________ Expires _______
Credit Reference ______________________ Acct. no.
__________ Balance Owed _____
HAVE YOU...
ever filed bankruptcy? ____ ever been evicted? ____
ever been convicted of a felony? ___
Vehicle Make __________ Model ____________ Year
_________ License ___________
Vehicle Make __________ Model ____________ Year
_________ License ___________
Personal Reference ___________________ Address
_____________________________
Phone ________________
Contact in Emergency _________________ Address
_____________________________
Phone ________________
I declare that the statements above are true and
correct. I authorize verification of my
references and credit as they relate to my tenancy and to future rent
collection.
Date _________________ Signed
___________________________________________
Verification
SSN__DL/ID___CurTenancy___Prev__Credit___Inc___PersRefs___By___
