Rental Application

Rental Application
APPLICANT INFORMATION
Full Legal Name*

First NameMiddle NameLast NameSuffix
Birth Date*

MonthDayYear
E-mail*
License #
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
# of Occupants*
# of Children*
Children Age Range

FromTo
Any Pets?*

YesNo
# of Pets*
Type of Pet

DogCat
Anticipated Move-In Date*

MonthDayYear
Have you been convicted?*

YesNo
If yes, please explain
Have you ever been evicted, broken a lease, moved owing money to a landlord for rent or damages, been sued by previous or current landlord, or filed bankruptcy?*

YesNo
If yes, please explain
Which Property/Properties are you interested in?*

Need to Add Spouse/Roommate?
Full Legal Name (Co-applicant)

First NameMiddle NameLast NameSuffix
Birth Date

MonthDayYear
E-mail
License #
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Have you been convicted?

YesNo
If yes, please explain
RENTAL HISTORY
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Current Rent Rate:
Previous Address (if less than 2 years ago)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Present Landlord Name
Phone Number

Area CodePhone Number
Previous Landlord Name
Phone Number

Area CodePhone Number
How Long There?
Reason for Leaving?
How Long There?
Reason for Leaving?
Have you ever been evicted, broken a lease, moved owing money to a landlord for rent or damages, been sued by previous or current landlord, or filed bankruptcy?*

YesNo
EMPLOYMENT HISTORY
Present Employer (Co-applicant)
Position/Title
Start Date

MonthDayYear
Gross Monthly Income
Present Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Employer Phone Number

Area CodePhone Number

ELECTRONIC SIGNATURE
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.
All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
Signature*

Clear

Spouse/Roommate Signature
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.
All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
Signature

Clear

Second Roommate Signature
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.
All information is true, accurate and complete to the best of applicant’s knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
Signature

Clear

Closed Second Roommate Signature
** Please Note** There is a $40 fee per adult required after application is reviewed and property tour is given if you wish to procede with renting the property. This is paid directly to the background/credit check company we use.
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