Rental Application

Rental Application
Each adult living in the house must fill out an application.
Address applying for?*
#1 Applicant's Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Date of Birth*

MonthDayYear
Social Security Number*
no dashes
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
How Long At this Address*
Landlords Name
Landlord Phone Number

Area CodePhone Number
Monthly Payment/Rent
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
Previous Landlords Name
Previous Landlord Phone Number

Area CodePhone Number
Monthly Payment/Rent
How Long At this Address
Employment Information
Current Employer
Employer Name
Employer Address

Street Address

Street Address Line 2

CityState

Zip Code
Employer Phone Number

Area CodePhone Number
E-mail
How Long At This Job
Position
Monthly Income
Rental History
Have you ever been evicted or sued by a landlord*

YesNo
If yes, please explain:
Other Information
Names and Ages of persons covered in this application*
Do you have dogs, cats, or other pets?*

YesNo
If any pets please describe.
Move in date desired:*

MonthDayYear
Date
Name your current creditors, including charge cards, student loans and commercial loans:
Have you ever been convicted of a criminal offense?*

YesNo
If yes, please explain.
Have you ever filed for bankruptcy?*

YesNo
If so, when?
Date:
Emergency Contact Information
Name Of Person Not Residing With You*

First NameLast Name
Relationship
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Applicant #2 Information
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Date Of Birth

MonthDayYear
Social Security Number
No dashes
Current Address

Street Address

Street Address Line 2

CityState

Zip Code
How Long At This Address
Landlord Phone Number

Area CodePhone Number
Monthly Rent
Previous Address

Street Address

Street Address Line 2

CityState

Zip Code
How Long At This Address
Previous Landlords Name
Previous Landlord Phone Number

Area CodePhone Number
Monthly Rent
#2 Employment Information
Current Employer
Employer Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
How Long At This Job
Position
Monthly Income
References (Must Have 2)
Reference 1*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Reference 2*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Landlord may refuse to rent to Applicant if any of the information provided herein is found to be untrue, and may terminate Applicant’s tenancy if information provided herein is found to be untrue after renting to Applicant.

If Landlord rents premises to Applicant, possession of the unit shall not be provided to Applicant until, in Landlord’s sole discretion, the premises are ready for occupancy.

Except as provided in the lease, the Landlord shall not be liable for damages in the event the premises are not ready for occupancy on the date prescribed in the lease, and Landlord shall not be liable for damages in any event where the premises cannot be occupied on the prescribed date because of causes beyond Landlord’s control.

I authorize the person or company to whom this application is made and any credit bureau or other investigative agency employed by such person to investigate any references herein listed or statements or other data obtained from me or from any other source pertaining to my credit or financial responsibility. I also authorize the person or company to whom this application is made (including his or her agents) to obtain a copy of my credit report to assist in evaluating my application and, thereafter, to obtain and use in attempting to collect unpaid rent, late fees, or other charges from me.

I CERTIFY THAT I AM 18 YEARS OR AGE OR OLDER AND THAT ALL OF THE INFORMATION I HAVE PROVIDED IN RESPONSE TO THE QUESTIONS CONTAINED IN THIS APPLICATION IS TRUE. I FURTHER CERTIFY THAT I HAVE READ THE CONDITIONS CONTAINED AT THE BOTTOM OF THE APPLICATION FORM, THAT I UNDERSTAND THEM, AND THAT I VOLUNTARILY SUBMIT THIS APPLICATION.
Applicant Signature*
Co-applicant Signature
A copy of this form will be sent to the email address provided here.
Should be Empty:

Rental Application

Employment Information

Rental History

Other Information

Emergency Contact Information

Applicant #2 Information

#2 Employment Information

References (Must Have 2)