INDIANA RENTAL APPLICATION
FULL NAME: _________________________________________________________________________________
ADDRESS: _______________________________________________________ PHONE: ____________________
ZIP CODE: ________________________________ BIRTHDATE: ______________________________________
HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE: ______________________________________
EMPLOYER'S NAME &. PHONE:
_____________________________________________________________________________________________
GROSS INCOME PER MO.: _____________HOW MANY MONTHS / YEARS AT CURRENT JOB: _________
SOCIAL SECURITY NO.: ___________________________
PI·IONE NO. AND NAME OF NEAREST RELATIVE TO NOTIFY IN CASE OF EMERGENCY:
_____________________________________________________________________________________________
DATE:
____________
.SIGNATURE:
_____________________________________________________________
FULL NAME: _________________________________________________________________________________
ADDRESS: _______________________________________________________ PHONE: ____________________
ZIP CODE: ________________________________ BIRTHDATE: ______________________________________
HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE: ______________________________________
EMPLOYER'S NAME &. PHONE:
_____________________________________________________________________________________________
GROSS INCOME PER MO.: _____________HOW MANY MONTHS / YEARS AT CURRENT JOB: _________
SOCIAL SECURITY NO.: ___________________________
PI·IONE NO. AND NAME OF NEAREST RELATIVE TO NOTIFY IN CASE OF EMERGENCY:
_____________________________________________________________________________________________
DATE:
____________
.SIGNATURE:
_____________________________________________________________
UPON SIGNING THE APPLICATION APPLICANT GIVES APPROVAL
TO RUN A
CREDIT
CHECK.
IF APPLICANT LEASES FROM
APPLICANT
GIVES
APPROVAL TO RELEASE RENTAL HISTORY INFORMATION TO PERSONS VERIFYING
SUCH
INFORMATION.. ADDITIONALLY, APPLICANT GIVES
PERMISSION TO
OBTAIN AND/OR REQUEST ANY INFORMATION NECESSARY TO VERIFY THE ACCURACY GIVEN AS
PART OF THE APPLICATION.
NUMBER OF PEOPLE TO LIVE IN UNIT, AND NAMES OF
ONES
NOT LISTED ABOVE:________________
_____________________________________________________________________________________________
YEAR AND MODEL OF VEHICLE(S): ____________________________________________________________
LICENSE PLATE NUMBER: ____________________________________________________________________
NO VEHICLES WHICH CREATE A NUISANCE EITHER
VISUAL OR
AUDIBLE. NO
MORE
THAN 3
VEHICLES PER
UNIT.