Residential Rental Application (Page 2 of 3) in pdf

RENTAL APPLICATION by The National Landlord Tenant Guides

YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7) years?

Yes___________ No____________

Have you ever been evicted from a rental residence?

Yes___________ No____________

Have you had two or more late rental payments in the past year?

Yes___________ No____________

ADDITIONAL SOURCES OF INCOME

If you have other sources of income for us to consider, please list income, source, and person (banker, employer, etc.) who we may

contact. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this

application.

ADDITIONAL INFORMATION: Please give us any additional information that might help the owner/management to evaluate your

application.

NOTICES:

I/We hereby warrant that all representations set forth above are true. To verify the above statements, I/We direct those persons

named in this application to ask questions about me or us. I/We waive all rights of actions for consequences as a result of such

information. I/We agree and authorize and give permission to the management company , owner or servicing company to perform a

credit on me/us. I/We agree to pay $___________ for the credit check as permitted by state law.

APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)

Credit Fee $ ____________ Date: __________

Security Deposit: $ _____________ Date: ________

Credit Report Requested Date: _____________ Review Date __________by: ________ Approved Y____ N_____

OFFICE NOTES:

If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the

application hereby waiving any claim for damages by reason of non-acceptance which the owner or agent

may reject. I recognize that as a part of your procedure for processing my application, an investigative

consumer report may be prepared whereby information is obtained through personal interviews with others

with whom I may be acquainted. This inquiry includes information as to my character, general reputation,

personal characteristics and mode of living as permitted by state law.

____________________________ __________________________________

Name of Applicant

Date

__________________________________

Name of co Applicant

Date

RENTAL APPLICATION - The National Landlord Tenant Guide

Page 2 of 3

Residential Rental Application Page 2