RENTAL APPLICATION
Notice: Co-Applicant must complete a separate Rental Application Form
The undersigned hereby makes application to rent unit number __________ located at _______________ beginning on
_______________, at a monthly rental of $ __________.
PLEASE TELL US ABOUT YOURSELF
Full Name
Home Phone
Date of birth
Social Security No.
Work Phone
Driver’s Lic. No./State
Email
Cell Phone
CO-APPLICANT
RELATIONSHIP
Phone
Date of birth
Social Security No.
Driver’s Lic. No./State
Names of all other occupants
Total number of occupants
How many pets?
Kind of pet (breed, weight and age)
PLEASE GIVE YOUR RESIDENCE HISTORY FOR THE PAST 3 YEARS (BEGINNING WITH MOST CURRENT)
Current address
Month & Year moved in
Reason for leaving
Owner Agent
Phone
Monthly payment
Previous address (if within 3 years)
Month & Year moved in
Moved out
Reason for leaving
Owner Agent
Phone
Monthly payment
Previous address (if within 3 years)
Month & Year moved in
Moved out
Reason for leaving
Owner Agent
Phone
Monthly payment
PLEASE GIVE YOUR EMPLOYMENT INFORMATION
Your status:
__Employed Full-Time
__Employed Part Time
__Student
__Retired __Not Employed
Current employer (or most recent)
Address
Phone
Date(s) employed/From
To
Position
Supervisor
Your gross monthly salary
Household gross monthly income
Previous employer
Address
Phone
Date(s) employed/From
To
Position
Supervisor
If there are other sources of income you would like us to consider, please list income, source and person (banker, employer, ect.) who we could
contact for confirmation. You do NOT have to reveal alimony, child support or spouse’s annual income.
Amount
Per
Source
Phone
PLEASE GIVE YOUR EMPLOYMENT INFORMATION
Your Bank(s)
City-State/Branch
Acct. Number & Type
Phone
1.
2.
Your credit references
City-State
Acct. Number
Phone
1.
2.
3.
PLEASE TELL US ABOUT YOUR VEHICLES
Total number of vehicles (including company vehicles, motorcycles, ect.)
Make/Model
Year
Color
Tag No./State
Make/Model
Year
Color
Tag No./State
Make/Model
Year
Color
Tag No./State
Have you or Co-Applicant ever (Please Check):
Been sued for non-payment?___
Been evicted or asked to move out?___
Declared Bankruptcy?___
Been sued for damage to rental property?___
Broken a rental agreement or lease?___