Full Name ______________________________________ Phone # ___________________
Email ___________________________________ Social Security # ___________________ Current Address ______________________________________ Birth Date_____________
OTHER OCCUPANTS If occupants are over the age of 18, a complete application needs to be filled out.
Full Name - First, Middle, Last Birth Date Relationship to You
RENTAL HISTORY Please list your two most recent addresses or from past five years.
Current Address Previous Address
Street Address / Unit No.
City, State, Zip
How long at this address
Manager/Owner Name
Manager/Owner Phone
EMPLOYMENT HISTORY Please list employment from past five years & other sources of income.
Current Employer Previous Employer Previous Employer
Employed by
Position
Dates of Employment (From-To)
Monthly Income
Name of Supervisor
Supervisor’s Phone #
Address - Street, City, State, Zip
OTHER INCOME SOURCES
Type Monthly Income Name of Provider Address Phone #
EMERGENCY CONTACT
Name ______________________ Phone # ________________ Relationship ___________________
VEHICLES
Make & Model Year Color Plate # State
Other Information
Have you ever been evicted? Yes No
If yes, when & why __________________________________________________________________________________________________
Have you ever been convicted of a felony? Yes No
If yes, when & why __________________________________________________________________________________________________
Have you ever filed for bankruptcy? Yes No
If yes, when & why __________________________________________________________________________________________________
Do you currently smoke? Yes No
Do you have any pets? Yes No
If yes, please list each Type, Breed & Approx. Weight ___________________________________________________________
AGREEMENT & SIGNATURE
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund.
Signature __________________________________ Date _________________________
RENTAL APPLICATION
APPLICANT TWO: Please fill out the page entirely.
Full Name ______________________________________ Phone # ___________________
Email ___________________________________ Social Security # ___________________ Current Address ______________________________________ Birth Date_____________
OTHER OCCUPANTS If occupants are over the age of 18, a complete application needs to be filled out.
Full Name - First, Middle, Last Birth Date Relationship to You
RENTAL HISTORY Please list your two most recent addresses or from past five years.
Current Address Previous Address
Street Address / Unit No.
City, State, Zip
How long at this address
Manager/Owner Name
Manager/Owner Phone
EMPLOYMENT HISTORY Please list employment from past five years & other sources of income.
Current Employer Previous Employer Previous Employer
Employed by
Position
Dates of Employment (From-To)
Monthly Income
Name of Supervisor
Supervisor’s Phone #
Address - Street, City, State, Zip
OTHER INCOME SOURCES
Type Monthly Income Name of Provider Address Phone #
EMERGENCY CONTACT
Name ______________________ Phone # ________________ Relationship ___________________
VEHICLES
Make & Model Year Color Plate # State
Other Information
Have you ever been evicted? Yes No
If yes, when & why __________________________________________________________________________________________________
Have you ever been convicted of a felony? Yes No
If yes, when & why __________________________________________________________________________________________________
Have you ever filed for bankruptcy? Yes No
If yes, when & why __________________________________________________________________________________________________
Do you currently smoke? Yes No
Do you have any pets? Yes No
If yes, please list each Type, Breed & Approx. Weight ___________________________________________________________
AGREEMENT & SIGNATURE
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund.
Signature __________________________________ Date _________________________
