Washington Rental Application Form
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1Washington Rental Application Form
APPLICANT INFORMATION
APPLICATION DATE_______________________
DATE OF OCCUPANCY_______________________
UNIT DESIRED______________________________________________
APPLICATION FEE $___________________
__________________________________________________________________________________ ___________________________________ ___________________________ _________
__________________________
APPLICANT #1 FIRST NAME
MI
LAST NAME (PLEASE PRINT)
SOCIAL SECURITY NUMBER
DRIVER’S LICENSE NO.
STATE
DATE OF BIRTH
_________________________________________________________________________________ ___________________________________ ___________________________
_________ __________________________
SPOUSE OR APPLICANT #2 FIRST NAME
MI
LAST NAME (PLEASE PRINT)
SOCIAL SECURITY NUMBER
DRIVER’S LICENSE NO.
STATE
DATE OF BIRTH
LIST NAMES AND AGES OF ALL OTHER PERSONS TO OCCUPY UNIT (PLEASE PRINT)
LIST ALL PETS
_______________________________________________________________________
______________________
_______________
________ __________ __________________________________________
FIRST NAME
LAST NAME
RELATIONSHIP
AGE
NUMBER
TYPE
BREED, WEIGHT AND AGE
_______________________________________________________________________
______________________
_______________
________ __________ __________________________________________
FIRST NAME
LAST NAME
RELATIONSHIP
AGE
NUMBER
TYPE
BREED, WEIGHT AND AGE
_______________________________________________________________________
_______________________
_______________
FIRST NAME
LAST NAME
RELATIONSHIP
AGE
_______________________________________________________________________
______________________
_______________
FIRST NAME
LAST NAME
RELATIONSHIP
AGE
YES
___ NO
HAVE YOU EVER BROKEN A LEASE OR BEEN EVICTED FROM ANY TYPE OF HOUSING (IF YES, USE THE BACK OF THIS FORM TO EXPLAIN)
____
___ YES
____ NO
HAVE YOU EVER BEEN COVICTED OF A FELONY (IF YES, USE THE BACK OF THIS FORM TO EXPLAIN)
WHY ARE YOU VACATING PRESENT PLACE OF RESIDENCE? ______________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________
_______________
________________________________
PRESENT ADDRESS
CITY
STATE
ZIPCODE
HOW LONG
PRESENT PHONE NO.
__________________________________________________
__________________________________________________________________________________________
________________________________
PRESENT LANDLORD NAME
LANDLORD ADDRESS
CITY
STATE
ZIPCODE
LANDLORD PHONE NO.
___________________________________________________________________________________________________________________________
________________
________________________________
FORMER ADDRESS
CITY
STATE
ZIPCODE
HOW LONG
FORMER PHONE NO.
__________________________________________________
__________________________________________________________________________________________
________________________________
FORMER LANDLORD NAME
LANDLORD ADDRESS
CITY
STATE
ZIPCODE
LANDLORD PHONE NO.
DO YOU INTEND TO USE:
WATERBED
AQUARIUM
PIANO / ORGAN
AUTOMOBILES (PRIVATE AND COMPANY) AND ALL OTHER VEHICLES TO BE KEPT AT THIS ADDRESS
___________ ________________________
___________________ ___________________
_______________________
__________
__
YES
NO
YEAR
MAKE
MODEL
COLOR
LICENSE NO.
STATE
GARAGE (IF AVAIL) $$ FEE____________
___________ ________________________
___________________ ___________________
_______________________
__________
__
YES
NO
YEAR
MAKE
MODEL
COLOR
LICENSE NO.
STATE
GARAGE (IF AVAIL) $$ FEE____________
OTHER VEHICLE’S DESCRIPTION & LICENSE NO: ________________________________________________________________________________________________________________________________________________
EMPLOYMENT INFORMATION
_______________________________________________________________________
_______________________________________________
_________________
$$______________________________
APPLICANT #1 -- PRESENT EMPLOYMENT FIRM NAME
POSITION
HOW LONG
TAKE HOME PAY
________________________________________________________________________________________________________________________________________
_____________________________
APPLICANT #1 -- PRESENT EMPLOYMENT ADDRESS
CITY
STATE
ZIPCODE
FIRM PHONE NO.
_______________________________________________________________________
______________________________________________
_________________
$$______________________________
APPLICANT #1 -- FORMER EMPLOYMENT FIRM NAME
POSITION
HOW LONG
TAKE HOME PAY
___________________________________________________________________________________________________________________________________________
_______________________________
APPLICANT #1 -- FORMER EMPLOYMENT ADDRESS
CITY
STATE
ZIPCODE
FORMER FIRM PHONE
_______________________________________________________________________
______________________________________________
_________________
$$______________________________
SPOUSE OR APPLICANT #2 -- PRESENT EMPLOYMENT FIRM NAME
POSITION
HOW LONG
TAKE HOME PAY
_________________________________________________________________________________________________________________________________________
_____________________________
SPOUSE OR APPLICANT #2 -- PRESENT EMPLOYMENT ADDRESS
CITY
STATE
ZIPCODE
FIRM PHONE NO.
______________________________________________________________________
______________________________________________
_________________
$$______________________________
SPOUSE OR APPLICANT #2 -- FORMER EMPLOYMENT FIRM NAME
POSITION
HOW LONG
TAKE HOME PAY
________________________________________________________________________________________________________________________________________________
_____________________________
SPOUSE OR APPLICANT #2 -- FORMER EMPLOYMENT ADDRESS
CITY
STATE
ZIPCODE
FORMER FIRM PHONE
$$_________________________ ____________________________________________________
$$_________________________
_________________________________________________________
OTHER INCOME
OTHER INCOME SOURCE
OTHER INCOME
OTHER INCOME SOURCE
CREDIT INFORMATION
________________________________________ _____________________________________________
____________________________________________________________________________________________
APPLICANT #1 CHECKING ACCOUNT NO.
BANK NAME
BRANCH NAME & ADDRESS
CITY
STATE ZIPCODE
_________________________________________
_________________
________________________________________
_______________________________________________________________________________
APPLICANT #1 MAJOR CREDIT CARD ACCT NO.
EXPIRES
BANK NAME
ADDRESS
CITY
STATE ZIPCODE
________________________________________ ____________________________________________
____________________________________________________________________________________________
APPLICANT #2 CHECKING ACCOUNT NO.
BANK NAME
BRANCH NAME & ADDRESS
CITY
STATE ZIPCODE
_________________________________________
________________
_________________________________________ _______________________________________________________________________________
APPLICANT #2 MAJOR CREDIT CARD ACCT NO.
EXPIRES
BANK NAME
ADDRESS
CITY
STATE ZIPCODE
CREDIT REFERENCES (OPEN CHARGE ACCTS, LOANS, CONTRACT PURCHASES, ETC.
LIST ALL OUTSTANDING DEBTS (USE ADDITIONAL PAGE IF NECESSARY
1.
_______________________________________ ________________________ $$________________
__________________________________________________ $$_______________ $$_______________
NAME
PHONE
AMT OWED
NAME
AMT OWED
MONTHLY PMT
2.
_______________________________________ ________________________ $$________________
__________________________________________________ $$_______________ $$_______________
NAME
PHONE
AMT OWED
NAME
AMT OWED
MONTHLY PMT
3.
_______________________________________ ________________________ $$________________
__________________________________________________ $$_______________ $$_______________
NAME
PHONE
AMT OWED
NAME
AMT OWED
MONTHLY PMT
4.
_______________________________________ ________________________ $$________________
__________________________________________________ $$_______________ $$_______________
NAME
PHONE
AMT OWED
NAME
AMT OWED
MONTHLY PMT
I agree to forfeit the application fee if I do not rent the unit after my application is approved. I / we certify, this application with the included information is represented to be accurate and
YES
NO
complete. Permission is granted for a credit check and inquires you feel necessary to evaluate tenancy and credit status:
_________________________________________________________________________________
_________________________________________________________________________________
APPLICANT #1 SIGNATURE
SPOUSE OR APPLICANT #2 SIGNATURE
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