Rental Application

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RENTAL APPLICATION
INSTRUCTIONS: Fill out completely and legibly. Each adult occupant must complete separate forms.
Applications which are not completed fully or are not signed will be rejected. Identification will be required by
means of Photo ID to confirm identity and proof of valid Social Security number.
Check one: ________ New Applicant; ______Revised Application
APPLICANT INFORMATION:
Full Legal Name: __________________________________________________________________________
Social Security No. __________________________________________ Date of birth____________________
Phone No.____________________________________ Marital Status:
Single
Married
Other
Present Address:________________________________City/State/Zip_________________________________
E-mail Address: ___________________________________________________________________________
Have you ever been convicted of a crime (Minor traffic incidents not included)? If yes, give details_________
_________________________________________________________________________________________
RESIDENTIAL HISTORY: Provide two complete years of Residential History
Do your currently rent or own your home? _______________________________________________________
Length of time at this address? ________________________________________________________________
If you currently rent, or have rented in the past two years, please complete the remainder of this section.
Current/Most Recent Landlord:__________________________ Landlord’s Phone Number: _______________
Dates (Month and year): From___________________ To__________________
Previous Landlord:____________________________________ Landlord’s Phone Number: ______________
Dates (Month and year): From___________________ To__________________
Have you ever been evicted?_________________ Do you have any judgments against you? _______________
EMPLOYMENT/INCOME HISTORY: Provide two complete years of Employment History
Employer: ________________________________________________________________________________
Employer Address: _________________________________________________________________________
Gross Monthly Income: ____________________________________ Full-time or Part-time_______________
Supervisor’s Name: ______________________________________ Phone Number: ____________________
Your position:__________________________________________ How long employed: _________________
If less than two years with current employer, provide name and phone number of previous employer ________
_________________________________________________________________________________________

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