Rental Application Template Woth Instructions (Page 4 of 4) in pdf

Rental Application Template Woth Instructions Page 4

APPLICANT PERSONAL REFERENCES:

Name: _____________________________________________ Relationship: ____________________________

Address: ________________________________________________ Phone: ____________________________

Known this reference how long? _______________________

Name: _____________________________________________ Relationship: ____________________________

Address: ________________________________________________ Phone: ____________________________

Known this reference how long? _______________________

Name: _____________________________________________ Relationship: ____________________________

Address: ________________________________________________ Phone: ____________________________

Known this reference how long? _______________________

APPLICANT EMERGENCY CONTACT INFORMATION:

Contact in Emergency (Name): ___________________________________ Relationship: __________________

Emergency Contact Address: __________________________________________ Phone: ___________________

I hereby certify and affirm that all information provided above is true and correct. I fully understand that my lease or rental

agreement may be terminated if I have made any false, misleading or incomplete statement(s) in this application. I hereby

authorize verification of all information provided in this application, including financial and credit information, via credit

bureaus and/or contact with current and previous employers, current and previous landlords and personal references.

___________________________________________

____________________________

Signature

APPLICANT

DATE

____________________________________

Print Name

Rental Application Template Woth Instructions Page 4