Rental Application Template Woth Instructions Page 2
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4RENTAL APPLICATION
Separate Application Required for Each Applicant
***************************************************
THIS SECTION FOR LANDLORD USE ONLY
Rental Property Address: ____________________________________________________________________
Term of Rental: [ ] month to month
[ ] lease from _______________ to _______________
Tenant Financial Obligation Prior to Occupancy
CONTACT CHECKLIST
First Month's Rent:
$_____________________
Current Landlord Contacted - Timely Remittance
Security Deposit:
$_____________________
[ ] Yes
[ ] No
Pet Deposit:
$_____________________
Current Employer Verified:
Application Fee:
$_____________________
[ ] Yes
[ ] No
Credit Report Fee:
$_____________________
Credit Report Determination:
Other (specify):
$_____________________
[ ] Yes
[ ] No
Income Verified (pay stub, employer, etc.)
TOTAL:
$_____________________
[ ] Yes [ ] No
*********************************************************************
DESIRED DATE OF MOVE-IN:
______ / _______ / 20_____
DESIRED LEASE TERM (check one): [ ] 12 months
[ ] 6 months
[ ] Other (Specify): ______
UNIT TYPE:
[ ] 1 BR
[ ] 2 BR
[ ] 3 BR
[ ] Other (Specify): _____________
APPLICANT INFORMATION:
Name (full legal name): ______________________________________________________________________
Social Security Number: ____ ____ ____ - ____ ____ - ____ ____ ____ ____ DOB: _____ / _____ / _____
Home Phone: __________________________________ Work Phone: _________________________________
Driver's License / ID Number: ____________________________________________ State: ____________
Email Address:_______________________________________________
NAME OF OCCUPANTS AND RELATIONSHIP TO APPLICANT:
Name: ____________________________________________
Relationship: ____________________
Name: ____________________________________________
Relationship: ____________________
Name: ____________________________________________
Relationship: ____________________
APPLICANT / OCCUPANT VEHICLE(S):
Make: ___________________ Model: ________________________ Year: _________ Tag#: _______________
Make: ___________________ Model: ________________________ Year: _________ Tag#: _______________
Make: ___________________ Model: ________________________ Year: _________ Tag#: _______________
EMPLOYMENT HISTORY:
Current Employer:
Name and Address: _________________________________________________________________________
Phone: _____________________________________ Supervisor: ____________________________________
Length of Employment: Begin ____________________ Still employed? (check one) ___ yes ___ no
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Parent category: Business