APPLICATION TO RENT
(all sections must be completed)
Individual applications required from each occupant 18 years of age or older
APPLYING FOR:
Apt No. _______ Located at _____________________________________ Rent Amt __________ Per __________
How did you hear about rental? __________________________________ Expected Move-In Date: ____________
Name: ______________________________________________________ Phone: (_____) ________-__________
Last
First
Middle
Social Security #: __________________ Driver’s Lic and State: ____________________ Birthdate: ____________
Month-Day-Year
LIST ALL ADDITIONAL OCCUPANTS WHO WILL RESIDE IN UNIT
Name: _____________________________________________________ Date of Birth: ______________________
Name: _____________________________________________________ Date of Birth: ______________________
Name: _____________________________________________________ Date of Birth: ______________________
Name: _____________________________________________________ Date of Birth: ______________________
RENTAL HISTORY
Current
Address: ____________________________________________________________________________________
Street
Unit#
City
State
Zip
How Long? From (Month/Year): _____________ To: ____________ Rent Paid: ____________________________
Owner/Manager: _____________________Tel: ________________ Reason for leaving: _____________________
Previous
Address: ____________________________________________________________________________________
Street
Unit#
City
State
Zip
How Long? From (Month/Year): _____________ To: ____________ Rent Paid: ____________________________
Owner/Manager: _____________________Tel: ________________ Reason for leaving: _____________________
Second Previous
Address: ____________________________________________________________________________________
Street
Unit#
City
State
Zip
How Long? From (Month/Year): _____________ To: ____________ Rent Paid: ____________________________
Owner/Manager: _____________________Tel: ________________ Reason for leaving: _____________________
CURRENT EMPLOYMENT
Company Name: ____________________________________ Address: __________________________________
Phone: __________________ Occupation: _____________________________ Monthly Salary: $______________
Name of Supervisor: ______________________________ Dates of Employment - From: ________ To: _________
PREVIOUS EMPLOYMENT
Company Name: ____________________________________ Address: __________________________________
Phone: __________________ Occupation: _____________________________ Monthly Salary: $______________
Name of Supervisor: ______________________________ Dates of Employment - From: ________ To: _________
ADDITIONAL INFORMATION
1. Have you ever had any credit problems?
_ Yes
_ No
2. Have you ever had an unlawful detainer filed against you?
_ Yes
_ No
3. Have you ever been evicted for non-payment of rent or for any other reason?
_ Yes
_ No
4. Have you ever filed bankruptcy?
_ Yes
_ No
5. Have you ever been convicted of a felony? _____ If so, what ___________________ When ________________
6. Do you have any pets?
_ Yes
_ No If yes, How many? _______ Describe: _________________________
7. Will you be using any water-filled furniture in your residence?
_ Yes
_ No
BANKING INFORMATION
Name of Bank/S&L/Credit Union: __________________________________ Branch or Address: _______________
Checking#: ________________ Approx. Bal. _____________ Savings#: _____________ Approx. Bal. __________