Rental App - Primary

RESIDENTIAL RENTAL APPLICATION
Application Date: _____/_____/ ______
Equal Housing Opportunity
Property Address:______________________________________
APPLICANT INFORMATION
LEGAL NAME OF APPLICANT - FIRST
LAST
MIDDLE
CURRENT ADDRESS
DATE OF BIRTH
OCCUPATION- Full or Part Time
EMPLOYER
HOW LONG ON JOB
SS#
CITY
STATE and ZIP
MONTHLY INCOME HOME PHONE
CELL PHONE
EMPLOYER ADDRESS
EMPLOYER CONTACT NUMBER
IF MILITARY:
RANK________ YEARS OF SERVICE________ ETS________ DUTY PHONE__________________________________
IN CASE OF EMERGENCY:
CONTACT PERSON_____________________________________ RELATIONSHIP TO YOU____________________________ PHONE NUMBER___________________________
CURRENT LANDLORD
LANDLORD PHONE
CURRENT RENT
Email:
YEARS WITH LANDLORD
LEASE EXPIRATION DATE
PETS
WHAT KIND_______________________ HOW MANY____________ WHAT SIZE____________
CO-APPLICANT INFORMATION
(Must be filled out for every occupant 18 and over- even if married to applicant. Please ask for additional application if needed.)
NAME OF CO APPLICANT - FIRST
LAST
MIDDLE
SS#
CURRENT ADDRESS
DATE OF BIRTH
OCCUPATION- Full or Part Time
EMPLOYER
HOW LONG ON JOB
CITY
STATE and ZIP
MONTHLY INCOME HOME PHONE
CELL PHONE
EMPLOYER ADDRESS
EMPLOYER CONTACT NUMBER
IF MILITARY:
RANK________ YEARS OF SERVICE________ ETS________ DUTY PHONE__________________________________
IN CASE OF EMERGENCY:
CONTACT PERSON_____________________________________ RELATIONSHIP TO YOU____________________________ PHONE NUMBER___________________________
CURRENT LANDLORD
CURRENT RENT
LANDLORD PHONE
Email:
YEARS WITH LANDLORD
LEASE EXPIRATION DATE
PETS
WHAT KIND_______________________ HOW MANY____________ WHAT SIZE____________
APPLICANT'S RENTAL REFERENCES (OTHER THAN RELATIVES)

NAME
ADDRESS
PHONE NUMBER
FAX NUMBER
1.
2.
CO-APPLICANT'S RENTAL REFERENCES

NAME
ADDRESS
PHONE NUMBER
FAX NUMBER
1.
2.
APPLICANT'S BANK REFERENCES

NAME
CHECKING
ADDRESS
PHONE NUMBER
SAVINGS
CREDIT CARDS/OTHERS
Page 1 of 3
ACCOUNT NUMBER
YOUR 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 or any household member been convicted of a felony or drug charges in the last five (5) years?
Yes___________
No___________
ADDITIONAL SOURCES OF INCOME

If you have other sources of income to consider, please list income, source, and person (banker, employer, etc.) whom we may contact. You do not have to reveal alimony, child
support, or spouse's annual income unless you want it considered in this application.
1.
3.
2.
4.
ADDITIONAL INFORMATION: Please provide any additional information that might be useful in evaluating your application.
NAMES OF OTHERS WHO WILL BE LIVING WITH YOU:

Name__________________________________________________________
Relationship__________________________________
Age_____________
Name__________________________________________________________
Relationship__________________________________
Age_____________
Name__________________________________________________________
Relationship__________________________________
Age_____________
NOTICES: I/WE hereby warrant that all information set forth above is true and correct and understand that this request may be denied if any information is
found to be incorrect. To verify the above statements, I/We direct those persons named in this application to answer questions about me or us. I/We waive all
rights of actions for consequences as a result of such information. I/We authorize and give permission to ________________________ to perform a credit
screening and nationwide criminal records search on me/us. I/We agree to pay $_______ (non-refundable) to the office in the form of check or money order
for each applicant and co-applicant for the credit check. I/We understand that a copy of my/our Driver's License will be copied and kept on file.
PLEASE DO NOT WRITE IN THIS BOX - FOR OFFICE USE ONLY

Credit Check Fee $_____________
Date:_________
Credit Report Requested Date:_____________

Office Notes:
Security Deposit $______________

Review Date:_________ by:_____________
Date:________
Approved Y___ N___
If the application is not approved or accepted by the owner or agent, the deposit will not be refunded, the applicant hereby waiving any claim for damages
by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an
investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be
acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living as permitted by state law.
APPLICANT SIGNATURE
DATE
CO-APPLICANT SIGNATURE
DATE
Page 2 of 3
AUTHORIZATION
Release of Information
I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house,
apartment, or condominium from this owner, manager, brokerage, finder, agent or leasing company.
APPLICANT'S FULL NAME (PLEASE PRINT)
APPLICANT'S SIGNATURE
DATE
CO-APPLICANT'S FULL NAME (PLEASE PRINT)
CO-APPLICANT'S SIGNATURE
DATE
Page 3 of 3

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RESIDENTIAL RENTAL APPLICATION

Application Date: _____/_____/ ______

Equal Housing Opportunity

LEGAL NAME OF APPLICANT - FIRST

OCCUPATION- Full or Part Time

HOW LONG ON JOB

STATE and ZIP

MONTHLY INCOME HOME PHONE

EMPLOYER CONTACT NUMBER

YEARS WITH LANDLORD

LEASE EXPIRATION DATE

OCCUPATION- Full or Part Time

HOW LONG ON JOB

STATE and ZIP

MONTHLY INCOME HOME PHONE

EMPLOYER CONTACT NUMBER

YEARS WITH LANDLORD

LEASE EXPIRATION DATE

APPLICANT'S RENTAL REFERENCES (OTHER THAN RELATIVES)

CO-APPLICANT'S RENTAL REFERENCES

APPLICANT'S BANK REFERENCES

RESIDENTIAL RENTAL APPLICATION

Equal Housing Opportunity

YOUR CREDIT HISTORY

Have you ever been evicted from a rental residence?

ADDITIONAL SOURCES OF INCOME

NAMES OF OTHERS WHO WILL BE LIVING WITH YOU:

PLEASE DO NOT WRITE IN THIS BOX - FOR OFFICE USE ONLY

Credit Report Requested Date:_____________

Security Deposit $______________

RESIDENTIAL RENTAL APPLICATION

Equal Housing Opportunity

APPLICANT'S FULL NAME (PLEASE PRINT)

CO-APPLICANT'S FULL NAME (PLEASE PRINT)

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Application Date: ___/_/ ____