Rental Application
Rental Application
Rental Application
Date:
Property Address: ____________________ Move in Date:
Monthly Rental Rate: _______ Security Deposit: _______ Lease Term: _________
Primary Applicant
Applicant Name: Phone
#:
Social Security #: D.L.#:
State:
D.O.B.:
Secondary Applicant
Applicant Name: Phone
#:
Social Security #: D.L.#:
State:
D.O.B.:
Current Employer:
Employers Phone #:
Title/Position:
Start Date:
Monthly Salary:
Supervisors Name:
Current Address:
Move in Date: __
Landlords Name &
Contact:
Current Monthly Rent: _____________
Please answer the following questions (false answers may result in automatic
rental rejection).
Have you or your spouse ever:
Been evicted or asked to move out? Yes No
Broken a lease? Yes No
Declared Bankruptcy? Yes No
Been sued for nonpayment of rent? Yes No
Been convicted of a felony? Yes No
Ever hired an attorney to sue a previous landlord? Yes No
Do either of you pay child support or court fines? Yes No
If yes to any question, please provide an explanation.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Primary Applicant
Name:
Address:
Phone #:
Name:
Address:
Phone #:
Name:
Address:
Phone #:
Will you be purchasing property insurance for your person property at this
residence? Yes No
Providing false information in this application is grounds for rejection of
this application and retention of any application fees and rental
deposit as liquidated damages for landlord’s expense for processing this
application. The undersigned represents that the above statements are true
and complete and hereby authorizes verification of said information.
All applicants hereby authorize landlord and/or landlord’s agents to obtain
a copy of applicant’s credit report, verify applicant’s rental and
employment history, and obtain other and all information necessary
to complete the verification process.
Primary Applicants
Signature: ____________________________________________ Date: _____________
Secondary Applicants
Signature: ____________________________________________ Date: _____________
Contact Us:
Mobile Home Community – Amber Mudgett ; Management
Mobile # (903) 744-6477Email - [email protected]
Single Family Houses – Shannon Mudgett ; Management
Mobile # - (903) 818-7827 Email - [email protected]