Rental Application Template
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Each adult (18 or older) must fill out a separate application
RENTAL APPLICATION
First
Middle
Last
Birth Date
Social Security #
Driver’s License #
Any Other Names You’ve Used In The Past
Home Phone
Cell Phone
All Other Proposed Occupants
Birth Date
Relationship To Applicant
RENTAL/RESIDENCE HISTORY
Current Residence
Previous Residence
Prior Residence
Street Address
City
State & Zip
Last Rent Amount Paid
Owner/Manager
and Phone Number
Reason for leaving
Is/Was rent paid in full?
Did you give notice?
Were you asked to
move?
Name(s) in which your
utilities are now billed:
From/To
From/To
From/To
Dates of Residency
EMPLOYMENT HISTORY
Current Employment
Previous Employment
Prior Employment
Employed By
Address
Employer’s Phone
Occupation
Name of Supervisor
Monthly Gross Pay
From/To
From/To
From/To
Dates of Employment
CREDIT HISTORY
Bank/Institution Name
Balance On Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan
VEHICLES (Include vehicles belonging to other proposed occupants also)
Make
Model
Color
Year
License Plate
PLEASE PRINT
RE
V 9.1
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Parent category: Business