Missouri Rental Application Template
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1
2
3FOR OFFICE USE ONLY
DATE APPROVED/DENIED:
RENTAL APPLICATION
App Fee $
____________________________________
Please complete all requested information on front and back of this form and submit to office. A
representative must
approve any application received before either party can enter into a rental agreement. No deposits will be accepted without an approved
application. Thank you for your interest in our rentals. Every adult over 18 who will be staying at the premises must fill out their own application.
Today’s Date
Address Applying For
Move-In Date
Pets: YES NO
What Kind? _________________________________________________
If yes how many?____________
******If pets are accepted the residents must fill out a pet application and may be subject to additional charges******
APPLICANT INFORMATION
Applicant’s Full Name
D.O.B.
S.S.#
Phone #’s
E-Mail
Driver’s License #
State
Exp.
Other Names Used
Vehicle Make/Model
Year
License Plate
_______
House Manager/Roommates’ Names
Spouse's Full Name
D.O.B.
S.S.#
Driver’s License #
State
Exp.
Other Names Used
Do you or your spouse have Children? YES NO
If yes, how many
Ages
RENTAL HISTORY (at least 1 full year, or co-signer)
1) Current Address
City
State
Zip
Landlord’s Name
Landlords Phone #
Dates at this address
--
Reason for leaving
2) Previous Address
City
State
Zip
Previous Landlord’s Name
Phone #
Dates at this address
--
Reason for leaving
EMPLOYMENT / INCOME INFORMATION (at least 1 year employment)
1) Present Employer
Position
Dates at this job
--
Supervisor’s Name
Supervisor’s Phone #
Monthly Income
Employers Address
City
State
Other Sources of Income (If you receive government financial assistance we will need a copy of your statement of benefits)
Amount
Source
Contact #
Amount
Source
Contact #
Circle what applies to you
CURRENT TOTAL MONTHLY INCOME
Full-Time Part-Time Permanent Temporary
2) Past Employer
Position
Dates at this job
--
Supervisor’s Name
Supervisor’s Phone #
Monthly Income
Employers Address
City
State
Circle what applies to you
PAST TOTAL MONTHLY INCOME
Full-Time Part-Time Permanent Temporary
3) Spouse’s Employer
Position
Dates at this job
--
Supervisor’s Name
Supervisor’s Phone #
Monthly Income
Employers Address
City
State
SPOUSE TOTAL MONTHLY INCOME
Circle what applies
Full-Time Part-Time Permanent Temporary
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