Rental/credit Application (Page 2 of 3) in pdf

Rental/credit Application Page 2

Position_______________________How Long?__________Monthly Income_________

EMERGENCY CONTACT INFORMATION

(at least one Family member)

Name__________________________

Telephone__________________________

Address

Name

Telephone

Address

PERSONAL REFERENCES

Name

Relationship

Telephone

________________________

_______ ______________

______________

________________________

_______________________

______________

________________________

_______________________

_______________

OTHER INFORMATION

Number of vehicles (including company cars)___________________________________

Make/Model____________________Year______Color______Tag No._____State_____

Have you ever:

Filed for Bankruptcy ___Yes ___No If yes, when? ______________________________

Have you ever:

Been served an eviction notice or been asked to vacate a property you were renting?

___Yes __No

Willfully or intentionally refused to pay rent when due? __Yes __No If yes, when?_____

Have you ever been convicted of a crime? ___Yes ___No If Yes, please give

details____________________________________________

Are you a registered sex offender? ___Yes ___No

How were you referred to us?

Newspaper (name)___________________Realtor__________________Other_________

Rental unit applied for_____________________________________________________

Commencement date_______________________Term______________Rent/Month____

Rental/credit Application Page 2