Application For Rental Form
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1
2
3Application For Rental
Each co-applicant over 18 must submit a separate application.
Spouses may submit a joint application.
This Application for Rental is requested to assist the Landlord in connection with the lease of his/her property. Your cooperation is
appreciated. This information will be kept in confidence and used only in relation to the lease agreement and in case of emergencies.
Please complete fully.
Date:____________
Property address:________________________________
Move-in date:____________
App. fee $___________________
Rent $___________________
Deposit $___________________
How were you referred? (check one) ____Rental agency or locator service (name)_____________________________
____Friend
____Rental guide (name)____________________
____Newspaper (name)___________________
Stopped by
____Other (please explain)________________________________________________________________
Applicant
Co-Applicant
Full name (as it appears on driver's license or ID card)
Full name (as it appears on driver's license or ID card)
______________________________________________
_______________________________________________
Phone # (hm)________________ (wk)_______________
Phone # (hm)________________ (wk)________________
Cell #_________________________________________
Cell #__________________________________________
E-Mail Address_________________________________
E-mail Address__________________________________
Street address (as it appears on driver's license or ID card)
Street address (as it appears on driver's license or ID card)
_______________________________________________
_______________________________________________
Driver's license or ID card # and state________________
Driver's license or ID card # and state__________________
Former last names (maiden and married)________________
Former last names (maiden and married)________________
Social Security #_________________________________
Social Security #__________________________________
Birthdate___________ Height________ Weight________
Birthdate____________ Height________ Weight________
Sex________ Eye color__________ Hair color_________
Sex________ Eye color___________ Hair color_________
Marital Status (check one) single________ married_______
Marital Status (check one) single________ married_______
divorced________ widowed_________ separated________
divorced________ widowed_________ separated________
List all residences for at least the last 2 years (start with current
List all residences for at least the last 2 years (start with current
residence)
residence)
Address_______________________________Apt.______
Address_______________________________Apt.______
City, State, Zip___________________________________
City, State, Zip___________________________________
Move-in date_____________Move-out date_____________
Move-in date_____________Move-out date_____________
Landlord or Manager_______________________________
Landlord or Manager_______________________________
Their phone_________________Rent $_______________
Their phone_________________Rent $_______________
Why are you moving?______________________________
Why are you moving?______________________________
Address_______________________________Apt.______
Address_______________________________Apt.______
City, State, Zip___________________________________
City, State, Zip___________________________________
Move-in date_____________Move-out date_____________
Move-in date_____________Move-out date_____________
Landlord or Manager_______________________________
Landlord or Manager_______________________________
Their phone_________________Rent $_______________
Their phone_________________Rent $_______________
Current Employer_________________________________
Current Employer_________________________________
Address_________________________________________
Address_________________________________________
Supervisor's name_________________________________
Supervisor's name_________________________________
Their phone_________________Mo. Income $__________
Their phone_________________Mo. Income $__________
Position_________________________________________
Position_________________________________________
Length of Employment_____________________________
Length of Employment_____________________________
Previous Employer________________________________
Previous Employer________________________________
Address_________________________________________
Address_________________________________________
Supervisor's name_________________________________
Supervisor's name_________________________________
Their phone_________________Mo. Income $__________
Their phone_________________Mo. Income $__________
Position_________________________________________
Position_________________________________________
Dates of Employment (from)___________(to)___________
Dates of Employment (from)___________(to)___________
Bank where checking account is located________________
Bank where checking account is located________________
Phone #________________Account #_________________
Phone #________________Account #_________________
Bank where savings account is located_________________
Bank where savings account is located_________________
Phone#________________Account #_________________
Phone#________________Account #_________________
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