Rental Application Form Smoke Free Building No Pets

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R e n t a l A p p l i c a t i o n F o r m
S m o k e F r e e B u i l d i n g
N o P e t s
Application Date________________ Location/Unit of Interest__________________________________________
Willing to rent without parking ? ___________________Desired Move in Date ? ___________________________
Phone number ______________________________________
Number of Occupants: _____________
Applicant Information
Last Name
First Name
M.I.
Co-Applicant Last Name
First Name
M.I.
Date of Birth
Social Security Number
Date of Birth
Social Security Number
Home Telephone
Co-Applicant Home Telephone (if different)
Current Street Address
City
State
Zip Code
Co-Applicant Address
City
State
Zip Code
Current Landlord (Name)
Phone Number
Co-Applicant Current Landlord (Name)
Phone Number
Reason For Leaving
Co-Applicant Reason For Leaving
Length Of Rental
Rent Amount
Co-Applicant Length of Rental
Rent Amount
Previous Rental Information
Landlord or Agent Name
Phone Number
Co-Applicant Landlord or Agent Name
Phone
Number
Landlord Address
Landlord Address
Reason For Leaving
Reason For Leaving
Length Of Rental
Rent Amount
Length of Rental
Rent Amount
Employment Information
Present Employer Name
Co-Applicant Employer Name
Supervisor Name
Supervisor Name
Address
Address
Employed
Employed
From
To
From
To
Telephone Number
Telephone Number
 Month
 Month
Position
Salary
Position
Salary
 Year
 Year
References and Other Information
Checking Account Number
Bank
Checking Account Number
Bank
Savings Account Number
Bank
Savings Account Number
Bank
Personal Reference
Telephone Number
Personal Reference
Telephone Number
Applicant Authorization & Signature
I/We affirm that the above information is correct and complete and hereby authorize owner or its agent to make any inquiries
necessary to evaluate my/our tenancy, including criminal background check, credit reports, public records search, employment,
residency and banking confirmation. I/We understand that any misrepresented information constitutes grounds for immediate
termination of the Lease Agreement. I understand that this application accompanied by an application fee does not obligate the
Landlord in any way. Landlord is not bound until such time as Landlord signs a Lease Agreement.
Applicant: X
Date:
Co-Applicant: X
Date:

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