Rental Application Template Page 2
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2BANKING REFERENCE
Name
Phone
Address
Account No.
Checking or Savings?
Balance
PERSONAL REFERENCES
Name
Name
Address
Address
City, State, Zip
City, State, Zip
Relationship
Relationship
Phone
Phone
OTHER INFORMATION
Pets (describe)
Water-filled furniture (describe)
Vehicles/boats to be parked on premises (make/model/year/license #):
In the past, have you been delinquent in paying rent or other financial obligations? If yes,
please explain:
In the past, have you failed to perform any obligations of a rental agreement or have you
been a defendant in an eviction lawsuit? If yes, please explain:
The information on this application is true and correct to the best of my knowledge. I hereby
authorize __________________________________ or agents to verify the above
information and obtain consumer or investigative credit report, criminal background report,
and/or eviction records from E-Renter USA. I understand that the $_________ fee for
verifying this rental application is not a deposit, will not be applied to any rent, or refunded
even if the application to rent is declined.
ALL APPLICANTS MUST SIGN BELOW:
Signature:
Date:
Signature:
Date:
FOR OFFICE USE ONLY:
Note: advise the applicant to authorize employees, bank, and landlords to release all relevant information to E-
Renter.
Remarks:
Move in date:
Unit:
Unit Type:
Rent $
Disclaimer:
Any forms or information provided by E-Renter USA, on this page or any other form from our site, is not
intended to replace legal advice. You are advised to consult an attorney in your area, and to check all local
.
and state regulations
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Parent category: Business