Residential Lease Application Form Page 2
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4Residential Lease Application concerning
Note: If Applicant is self-employed, Landlord may require one or more previous year’s tax return attested
by a CPA, attorney, or other tax professional.
Applicant’s Previous Employer:
Address:
(
)
street, city, state, zip
Supervisor’s Name:
Phone:
Fax:
E-mail:
Employed from
to
Gross Monthly Income: $
Position:
Describe other income Applicant wants considered:
List all vehicles to be parked on the Property:
Type
Year
Make
Model
License/State
Mo.Pymnt.
List all pets to be kept on the Property (dogs, cats, birds, reptiles, fish, and other pets):
Rabies
Type & Breed
Name
Color
Weight Age
Gender
Neutered?
Declawed?
Shots Current?
yes
no
yes
no
yes
no
yes
no
yes
no
yes
no
Yes
No
Explanation
Will any waterbeds or water-filled furniture be on the Property?
Does anyone who will occupy the Property smoke?
Will Applicant maintain renter’s insurance?
Is Applicant or Applicant’s spouse, even if separated, in military?
If yes, is the military person serving under orders limiting
the military person’s stay to one year or less?
Has Applicant ever:
been evicted?
been asked to move out by a landlord?
breached a lease or rental agreement?
filed for bankruptcy?
lost property in a foreclosure?
had any credit problems, slow-pays or delinquencies?
been convicted of a crime?
Is any occupant a registered sex offender?
Are there any criminal matters pending against any occupant?
Is there additional information Applicant wants considered?
Authorization: Applicant authorizes Landlord and Landlord’s agent, at any time before, during, or after any
tenancy, to:
(1) obtain a copy of Applicant’s credit report;
(2) obtain a criminal background check related to Applicant and any occupant; and
(3) verify any rental or employment history or verify any other information related to this application with
persons knowledgeable of such information.
Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and Applicant enter into a
separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties
and Landlord may continue to show the Property to other prospective tenants and accept another offer.
(TAR-2003) 10-16-07
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