Fillable Rental Application Template printable pdf download

Rental Application

Please PRINT dark and clearly in black ink

One person per application

I hereby make application to rent

to be used as a dwelling unit.

Your Information

ÜFull legal name:

Phone number: (

)

First

Middle

Last

ÜSocial security number:

ÜDate of birth:

day

year

ÜDriver’s license #:

ÜState issued:

Current Address

Previous Address

ÜAddress:

ÜApt #:

ÜAddress:

ÜApt #:

ÜCity:

ÜState:

ÜZip:

ÜCity:

ÜState:

ÜZip:

Landlord’s Name:

Landlord’s Phone: (

)

Landlord’s Phone: (

)

Reason For Moving:

Monthly Rent: $

When did you move in?

out?

When did you move in?

out?

o Yes

o No

Do you rent this residence?

o Yes

o No

Did you rent this residence?

o Yes

o No

Is your name on the lease?

o Yes

o No

Was your name on the lease?

o Yes

o No

Have you given written notice to leave?

o Yes

o No

Did you give written notice to leave?

Your Current Employment

ÜName of employer:

Your position:

ÜAddress:

Your start date:

ÜCity:

ÜState:

ÜZip:

Employer’s phone number: (

)

o Gross o Net

Your supervisor:

Monthly Salary:

Your Personal History

Have you ever?…

o Yes

o No

o Yes

o No

been asked to move out or evicted?

broken a rental agreement or lease?

o Yes

o No

o Yes

o No

declared bankruptcy?

been sued for nonpayment of rent?

o Yes

o No

o Yes

o No

been sued for damage to a rental unit?

been convicted of a felony?

Your Vehicle

Make:

Model:

Color:

License Plate Number:

State:

Other Residents: List the legal names and ages of ALL other people who will occupy this unit.

Names & Ages

In Case of Emergency:

Emergency Contact:

Phone:

Address:

City:

State:

Please Read Carefully

I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be

cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or

Landlord’s agents to verify the information on the application. Verification or re-verification of any information contained in the application will be retained by

Landlord. I hereby au

to obtain information about me, including, but not limited to, this application, my credit, my tenant history,

my check writing history, any court records and/or my criminal record, and I hereby authorize & instruct any entity or person contacted by

or the Landlord or Landlord’s agents to release such information to them. Upon request, Landlord, Landlord’s agents, or Tenant Data will provide the name &

phone number of the source of the information used in the verification process.

Rent Amount:

Security Deposit:

Lease Term:

Move-in date:

Applicant:

Date:

Non-Refundable Application Fee: $________