Rental Application Form
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2Completed by Landlord/Property Mgr
Date & Time Received:____________
Credit Check Fee: ________________
Received By: ____________________
Rental Application
Address of Property:______________
Rental Term: ____________________
Applicant
Rent Amount: ___________________
Security Deposit: ________________
(Additional occupants over 18 years old and Co-Signer must submit a separate application)
Name (First, Middle and Last Name:)____________________________________________________________________________
Birthdate:___________ SSN: __________________________ Email: __________________________________________________
Cell Phone: _________________________________________ Work Phone: ___________________________________________
DL State & Number: ______________________________________ License Plate State & Number: __________________________
Vehicle Make:_________________________ Model: _____________________ Year:_________ Color: _____________________
Additional Occupants
List everyone including family members who will be occupying the home:
Full Name
Relationship to you
__________________________________________________________
_________________________________
__________________________________________________________
_________________________________
__________________________________________________________
_________________________________
__________________________________________________________
_________________________________
__________________________________________________________
_________________________________
Address History
Current Address:_________________________________________________________________________________________
Reason for Leaving:_______________________________________________________________________________________
Dates Occupied:__________________________ Has Notice been Given?:___________________________________________
Rent Amount: ________________________ Security Deposit Amount: _____________________________________________
Landlord/Property Manager Name: ________________________________ Landlord/Manager’s Phone:___________________
Previous Address:_________________________________________________________________________________________
Reason for Leaving:________________________________________________________________________________________
Dates Occupied:________________________________ Has Notice been Given?:______________________________________
Rent Amount: __________________________________ Security Deposit Amount: ___________________________________
Landlord/Property Manager Name: ______________________________ Landlord/Manager’s Phone:_____________________
Additional Previous Address:________________________________________________________________________________
Reason for Leaving:_______________________________________________________________________________________
Dates Occupied:_________________________________ Has Notice been Given?:____________________________________
Rent Amount: ___________________________________ Security Deposit Amount: __________________________________
Landlord/Property Manager Name: _____________________________ Landlord/Manager’s Phone: ______________________
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Parent category: Legal