Rental Application Template Page 2

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BANKING INFORMATION
CHECKING ACCOUNT _______________________________________________________________________________________________________________________ ___
Bank Name
Branch
City
Phone
Account No.
SAVINGS ACCOUNT___________________________________________________________________________________________________________________________
Bank Name
Branch
City
Phone
Account No.
REFERENCES
FAMILY _______________________________________________________________________________________________________________________ _____________ _ _
Full Name
Number
Street
_______________________________________________________________________________________________________________________ _____________ _ _______ _
City
State
Relationship
Phone
EMERGENCY ________________________________________________________________________________________________________________________________
Full Name
Relationship
Phone
MISCELLANEOUS INFORMATION
ADDITIONAL INCOME _________________________________________________________________________________________________________________ ______ ___
Description
Amount
How Often?
PETS _______________________________________________________________________________________________________________________ _____________ _ ___
Description
Number
WATER-FILLED FURNITURE ____________________________________________________________________________________________________________________
Description
AUTOMOBILES/MOTORCYCLES/BOATS TO BE PARKED ON PREMISES:
___________________________________________________________________________________________________________________________________________
Make
Model
Year
License Number
___________________________________________________________________________________________________________________________________________
Make
Model
Year
License Number
HAVE YOU EVER BEEN DELINQUENT IN PAYMENT OF YOUR RENT OR ANY OTHER FINANCIAL OBLIGATION? IF YES, PLEASE EXPLAIN:
___________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________
HAVE YOU EVER BEEN A DEFENDANT IN AN UNLAWFUL DETAINER (EVICTION) LAWSUIT OR DEFAULTED (FAILED TO PERFORM) ANY OBLIGATION OF A RENTAL AGREEMENT
OR LEASE? IF YES, PLEASE EXPLAIN: ___________________________________________________________________________________________________________ _
___________________________________________________________________________________________________________________________________________
The information on this application is true and correct to the best of my knowledge. I hereby authorize ___________ or its agents to verify the above information and obtain either a consumer or investiga-
tive credit report. I understand that the $ _______________________________________ fee for verifying this rental application is not a deposit of rent, and will not be applied to future rent, or refunded,
even if this application to rent is declined. NOTE: ALL APPLICANTS MUST SIGN BELOW.
SIGNATURE _______________________________________________________________________________________________ DATE __________________ ______ _____ __
SIGNATURE _______________________________________________________________________________________________ DATE __________________ ______ _____ _ _
VERIFICATION RESULTS - FOR OFFICE USE ONLY
NOTE TO MANAGER: Verify driver’s license number and advise applicant to authorize employers, banks, and landlords to release all relevant information.
APPLICATION
___________________________________________________________________________________________ D/L # __________________ ______ ___ __ _
APPLICATION
___________________________________________________________________________________________ D/L # __________________ ______ ___ __ _
INVOICE #
___________________________________ RESULTS __________________________________________________ _ DATE __________________ ______ __ _ __ _ _
REMARKS
_______________________________________________________________________________________________________________ ______ ___ __ _ ______ _
___________________________________________________________________________________ ______ ___ __ _ ______ ____________________________________ _ ___
MOVE IN DATE __________________________ UNIT # ____________________ UNIT TYPE ______________________ RENT __________________ ___
NOT ACCEPTED: REASON _____________________________________________________________________________________________________ _
ADVISED APPLICANTS ________________________________________________________________________________________________________

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