Minnesota Residential Lease Application
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4Minnesota Residential Lease Application
Property Address:
Application Date:
Move in Date Requested_____________
Application Processing Fee $___________How would you like this fee returned? If applicable _______Mail _______Destroying it _______Holding it for retrieval (1 day)
This fee is non-refundable should this application for rental be accepted or not.
INSERT “N/A” FOR NON-APPLICABLE ITEMS. ALL APPLICANTS MUST COMPLETE SEPARATE APPLICATIONS.
HOW DID YOU HEAR ABOUT US? __________________________________________________________________________________________________________
APPLICANT PERSONAL DATA (Please Print Clearly)
Complete Legal Name
Date of Birth
Driver’s License #
Social Security #
# Dependents
Phone
Email
RENTAL HISTORY (account for all months of the past three years – use additional page if necessary)
From
To
Complete Address (Including ZIP)
Rent Paid
Landlord Name
Phone #
Why Moving?
Present
$
From
To
Prior Complete Address (Including ZIP)
Rent Paid
Landlord Name
Phone #
Why Moved?
$
From
To
Prior Complete Address (Including ZIP)
Rent Paid
Landlord Name
Phone #
Why Moved?
$
EMPLOYMENT
From
To
Employer Name & Address
Monthly Income
Position
HR Fax #
Phone #
Supervisor Name
Present
$
From
To
Prior Employer Name & Address
Monthly Income
Position
HR Fax #
Phone #
Supervisor Name
$
OTHER HOUSEHOLD INCOME (Disability, Assistance, Child Support, Section 8, Etc. – You must list the name, phone number, AND fax number for each contact)
Source of Income
Complete Address (Including ZIP)
Monthly Income
Contact Name
Fax #
Phone #
Comments
$
Source of Income
Complete Address (Including ZIP)
Monthly Income
Contact Name
Fax #
Phone #
Comments
$
Source of Income
Complete Address (Including ZIP)
Monthly Income
Contact Name
Fax #
Phone #
Comments
$
Section 8
Complete Address (Including ZIP)
Vendored Amount
Worker Name
Fax #
Phone #
Comments
$
TOTAL MONTHLY HOUSEHOLD INCOME
$
SOURCE OF SECURITY DEPOSIT & FIRST MONTH RENT
Source of Security Deposit (bank account, agency, self)
Account # (checking / savings)
Funds Now
Available
Contact Name
Phone #
Comments
$
Source of First Month Rent (bank account, agency, self)
Account # (checking / savings)
Funds Now
Available
Contact Name
Phone #
Comments
$
AUTOS
Year, Make, Model
Color
Payment
Paid to Whom
Phone #
Comments
$
Year, Make, Model
Color
Payment
Paid to Whom
Phone #
Comments
$
PERSONAL REFERENCES
Name of Father and/or Mother
Complete Address (Including ZIP)
Phone #
Comments
Personal Reference (no relatives)
Complete Address (Including ZIP)
Phone #
Comments
In Case of Emergency Contact
Complete Address (Including ZIP)
Phone #
Comments
Page 1 of 4
07-2013
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Parent category: Legal