Rental Application (One Person Per Application) Form

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RENTAL APPLICATION
(ONE PERSON PER APPLICATION)
Name: _________________________________________________________ Phone: _____________________________________
Email: ____________________________________________________ Former Names: ____________________________________
SSN:
______ ______ ______- _____ _____ - _____ ______ _____ _____
DOB: __________ / __________ / __________
Has your driver’s license ever been suspended, privileges limited or revoked?
Yes
No
If so, when and why? ___________________________________________________________________________________________
Current address, including ZIP CODE: ______________________________________________________________________________
Name, address and telephone no. of Landlord: ______________________________________________________________________
_____________________________________________________________________________________________________________
Length of stay: _____________________ Rent: $ _____________________ Amt. of utilities paid by tenant: $ ___________________
Reason for leaving: _____________________________________________________________________________________________
When does your lease expire? ___________________________
Have you given notice?
Yes
No
When would you like to take occupancy? ___________________________________________________________________________
Former address, including ZIP CODE: _______________________________________________________________________________
Length of stay: ____________________________ Reason for leaving: ____________________________________________________
Name, address and telephone number of Landlord: __________________________________________________________________
If the total length of the previous two tenancies is less than two years, list additional addresses with ZIP CODE: __________________
_____________________________________________________________________________________________________________
Names of all adult co-tenants: ___________________________________________________________________________________
Pets: Number ________ types: _________________________ weight: ____________________ and ages: ___________________
Number of vehicles: cars: __________________ trucks: __________________ other: _____________________________________
Plate numbers: ________________________________________________________________________________________________
Current employer: ___________________________________________________ Phone: ___________________________________
Position:_______________________________ Length of employment: _________________ NET pay per mo: $ _________________
Additional income: Amount $ ______________
Source: _____________________________________________________________
Total of ALL monthly debt, excluding rent and utilities listed above $ ____________________________________________________
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FORM PROVIDED BY SCREENING SERVICES INC. CALL 440.230.2929 OR 855-OK2RENT.

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