Application To Rent Form (Page 2 of 2) in pdf

Application To Rent Form Page 2

Supervisor's Name _______________________Phone # (___) _________________

Position _______________________________ Salary $______________________

Start Date/Length of Employment___________

CoApplicant:

Employer/Company Name:________________________________________________

Address_____________________City_____________________St_______Zip______

Supervisor's Name _______________________Phone # (___) ___________________

Position________________________________Salary $________________________

Start Date/Length of Employment___________

BANK INFORMATION

Name of Bank___________________________________________________________

Account number_________________________________________________________

EMERGENCY CONTACT INFORMATION In case of emergency please notify

Name___________________ Phone # __________________ Relation ___________

Have you ever filed for Bankruptcy ? _________

Have you ever been evicted ? _______________

I/We confirm that all the information supplied is true and correct. I/we understand that

I/we can be turned down for the apartment if I/we have falsified any information on this

application. I/we hereby authorize the verification of all above information by Able

Screening Service including my credit, criminal background, rental history, check writing

and employment history including salary.

Applicant's Signature ____________________ date __________

CoApplicant's Signature ___________________date__________

FOR OFFICE USE ONLY: CALL ABLE SCREENING SERVICE AT 4153530744

OR FAX TO 4154493599 TO PROCESS THIS APPLICATION. THE COMPLETED

APPLICATION SHOULD BE KEPT ON FILE FOR 2 YEARS REGARDLESS OF

ACCEPTANCE OR DENIAL.

Application To Rent Form Page 2