RENTAL
ONE APPLICATION FOR EACH ADULT
APPLICATION
APPLICANT (18 YEARS OF AGE OR OLDER).
You will be denied rental if
DATE ________________________________
you misrepresent any information on this application.
All information on the front and back of this
If misrepresentations are found after a rental
application must be completed.
agreement is signed, your rental agreement will be
terminated.
PERSONAL INFORMATION
Applicant’s Name ___________________________________________________
Date of Birth _________________
Address ___________________________________________________________
Soc. Sec. No. ________________
City, State, Zip ______________________________________________________
Home Phone _________________
Driver’s License No. _________________________________________________
Other Phone _________________
DATE OF BIRTH
SOC. SEC. NO.
OTHER RESIDENTS (Relationship)
____________________
________________
_____________________________________________________
________________
____________________
_____________________________________________________
____________________
________________
_____________________________________________________
RESIDENT’S HISTORY
Current Address ____________________________________________________
How Long? __________________
Current Landlord ___________________________________________________
Phone ______________________
Reason for Moving? _________________________________________________
Rent? ______________________
_________________________________________________________________________________________________
(COMPLETE IF LESS THAN ONE YEAR AT PRESENT ADDRESS)
Previous Address ___________________________________________________
How Long? __________________
Previous Landlord ___________________________________________________
Phone ______________________
Reason for Moving? _________________________________________________
Rent? ______________________
EMPLOYMENT INFORMATION
Employer __________________________________________________________
Starting Date? ________________
Address __________________________________________________________________________________________
Position Held _______________________________________________________
Monthly Income _______________
Supervisor _________________________________________________________
Phone ______________________
Other Employer _____________________________________________________
Starting Date? ________________
Address __________________________________________________________________________________________
Position Held _______________________________________________________
Monthly Income _______________
Supervisor _________________________________________________________
Phone ______________________