Rental Application Template

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RENTAL APPLICATION
Heritage Realty LLC 1045 N Grand Ave #C Pullman WA 99163
Unit Appling For:
Rent amount: $_________________________________
Deposit amount: $_______________________________
Date of Application:
Name of Applicant:
Date of Birth: ______________________Phone: ______________________
Other Names used:
Driver’s License Number & State of Issuance:
Social Security Number:
Who will live in the residence, other than applicant:___________________ Applicant’s Place of
Employment:
Address:
Supervisor:
Phone:
Job Title:
Hours:
Monthly Pay:
How long at current job?
Other Sources of Income (type and amount):
Have you ever filed bankruptcy?
Yes
No -if yes, court and cause number:
Are you a party to any lawsuits?
Yes
No -if yes, court and cause number:
_______________
Are there any judgments against you?
Yes
No
-if yes, court and cause number:
Have you ever pled or been found guilty of a felony or misdemeanor? Yes No -if yes, please
describe charges and date
Have you ever been evicted from a rental unit? Yes No -if yes, provide reason for eviction
Vehicles: (Year Make/Model Color License Number)
1.
2.
3.
Bank Name:
Phone:
Account No.:
Branch:
Person to notify in case of emergency:

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