RENTAL
A PPLICATION
F ORM
SEPARATE
A PPLICATION
R EQUIRED
F ROM
E ACH
A PPLICANT
A GE
1 8
O R
O LDER
I NCLUDING
S POUSE
A ND
C HILDREN
THIS
A PPLICATION
A ND
I TS
C ONTENTS
A RE
C ONSIDERED
P ART
O F
T HE
L EASE.
PLEASE
F ILL
O UT
A LL
T HE
Q UESTIONS
B ELOW
Applicant
I nformation
Last
N ame:
First
N ame:
MI:
Sex:
Home
P hone
N umber:
Work
P hone
N umber:
Cell.
P hone
N umber:
Social
S ecurity
N umber:
Driver’s
L icense
N umber:
State:
Date
o f
B irth:
Marital
S tatus:
Single:
Married:
Divorced:
Fiancé:
Present
R ental
I nformation
Present
H ome
A ddress:
City:
State:
Zip
C ode:
Length
o f
R esidence:
Landlord
N ame:
Landlord
P hone
N umber:
Landlord
F ax
N umber:
Monthly
R ent:
Reason
f or
M oving:
Previous
R ental
I nformation
Previous
H ome
A ddress:
City:
State:
Zip
C ode:
Length
o f
R esidence:
Landlord
N ame:
Landlord
P hone
N umber:
Landlord
F ax
N umber:
Monthly
R ent:
Reason
f or
M oving:
Employment
I nformation
Present
O ccupation:
Employer
N ame:
Name
o f
S upervisor:
Employer
–
H uman
R esources
D ept.
P hone
# :
Employer
–
H uman
R esources
D ept.
F ax
# :
Supervisor
P hone
N umber:
Check
o ne:
Current
I ncome
Length
o f
E mployment:
Work
H ours:
After
D eductions:
Weekly
Bi-‐ W eekly
Monthly
Yearly
AM
PM
2
Job
E mployment
I nformation
nd
Present
O ccupation:
Employer
N ame:
Name
o f
S upervisor:
Employer
–
H uman
R esources
D ept.
P hone
# :
Employer
–
H uman
R esources
D ept.
F ax
# :
Supervisor
P hone
N umber:
Check one:
Current
I ncome
Length
o f
E mployment:
Work
H ours:
After
D eductions:
Weekly
Bi-‐ W eekly
Monthly
Yearly
AM
PM
Other
S ources
o f
I ncome:
SSI
Food
S tamps
Child
S upport
Other
P lease
D escribe:
Per
M onth:
Per
M onth:
Per
M onth: