rental application

1. RENTAL APPLICATION Today's date__________________________________________
Address __________________________________________________
Applicant’s full name___________________________________________________________________________
Email___________________________________________ Desired rental date ____________________________
Home Phone #___________________________Cell#______________________________ DOB_______________
Social Security #_______________________ Drivers License#______________________ State________________
Current Address________________________________________________________________________________
Current Landlords Name, address and phone#_____________________________________________________
_____________________________________________________________________________________________
How long at this address____________________ Reason for leaving______________________________________
_____________________________________________________________________________________________
Previous Address_______________________________________________________________________________
Previous Landlords Name Address and phone#_____________________________________________________
_____________________________________________________________________________________________
How long at this address____________________ Reason for leaving______________________________________
_____________________________________________________________________________________________
Present Employer______________________________________________________________________________
Address_______________________________________________________________________________________
Position____________________________________________ Mo. Income (gross or net)_____________________
Phone #___________________________How long at job___________________ At Profession________________
Other income/source____________________________________________________________________________
Are you or anyone that will live in the residence in the Military or Reserves? _______________________________
Co-applicant__________________________________________________________________________________
Social Security#________________________ Drivers License #_________________________State___________
Email___________________________________________________

2. Present Employer____________________________________________________Position____________________
Address________________________________________________________Mo. Income_____________________
Phone#________________________________ How long at Job_____________ At Profession_________________
Personal References:
Name___________________________________ Yrs. Known___________ Relationship_____________________
Phone #_____________________________
Name____________________________________ Yrs. Known___________ Relationship____________________
Phone #____________________________
Adults to live here _____________________________________________________________________________
Children and ages______________________________________________________________________________
Number and type of pets_________________________________________________________________________
Do you Smoke? Yes No (circle one)
Have you ever been party to an eviction? Yes No
Have you ever been convicted? Yes No
Have you ever been arrested? Yes No
Have you ever been sued? Yes No
Are there any outstanding judgments against you? Yes No
Explain_______________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Financial:
Do you pay alimony, child support, or separate maintenance? _________________________ Amount___________
Vehicle payments and amount_____________________________________________________________________
Other vehicle payments__________________________________________________________________________
Credit card balances and payments_________________________________________________________________
Other debts and payments________________________________________________________________________
Outstanding debts_______________________________________________________________________________

3. I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation
of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant
decision. I authorize a credit search to be preformed for the purpose of qualifying for this rental application. I
understand that the property owner or his agent may terminate any rental agreement entered into for any
misrepresentations made above.
Signature__________________________________________________________Date________________________
Co-applicant Signature_______________________________________________Date________________________