Rental Application Conventional
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2RENTAL APPLICATION (Conventional)
(Each person over 18 and not a dependent must submit a separate application)
To be completed by Owner or Owner’s Representative:
COMMUNITY NAME:
__
APT. NO. ASSIGNED:
M-IN DATE:
LEASE TERM:
STREET ADDRESS OF APT. NO.
RENTAL RATE OFFERED:
CONCESSION OFFERED:
DATE COMPLETED APPLICATION RECEIVED:
DATE APPLICANT NOTIFIED OF APPROVAL/DENIAL:
PROPERTY REP.:
GENERAL INFORMATION ON APPLICANT
___________________________________________________________________________________________________________
First Name (Full Legal Name)
Middle Initial
Last Name
Social Security Number
___________________________________________________________________________________________________________
Present Street Address
City
State
Zip
Telephone No.
Email
___________________________________________________________________________________________________________
Date of Birth
Drivers License No. and State
OR Govt. Issued Photo ID No.
Have you ever been known under any other names or aliases?
Yes
No
If Yes, please list: ____________________________________________________________________________________________
List States resided in for the past 10 years from this application date: ___________________________________________________
List Counties/Parishes resided in for the past 10 years from this application date: __________________________________________
How did you hear about us? ____________________________________________________________________________________
(If Locator Service, please list company and Agent’s Name)
___________________________________________________________________________________________________________
GENERAL INFORMATION ON ADULT DEPENDENT (if applicable)
___________________________________________________________________________________________________________
First Name (Full Legal Name)
Middle Initial
Last Name
Social Security Number
___________________________________________________________________________________________________________
Present Street Address
City
State
Zip
Telephone No.
Email
___________________________________________________________________________________________________________
Date of Birth
Drivers License No. and State
OR Govt. Issued Photo ID No.
List States resided in for the past 10 years from this application date: __________________________________________________
List Counties/Parishes resided in for the past 10 years from this application date: _________________________________________
EMPLOYMENT HISTORY ON APPLICANT
___________________________________________________________________________________________________________
Name of Present Employer
___________________________________________________________________________________________________________
Employer’s Street Address
City
State
Zip
Telephone No.
Email
___________________________________________________________________________________________________________
Position Held with Present Employer
Gross Monthly Income
Length of Employment
___________________________________________________________________________________________________________
Supervisor's Name
Telephone Number
If current employment is less than 6 months, please complete previous employment.
___________________________________________________________________________________________________________
Name of Previous Employer
___________________________________________________________________________________________________________
Previous Employer’s Street Address
City
State
Zip
Telephone No.
Email
___________________________________________________________________________________________________________
Position Held with Previous Employer
Gross Monthly Income
Length of Employment
___________________________________________________________________________________________________________
Previous Supervisor’s Name
Telephone Number
CREDIT HISTORY
Do you have any other non-work income you want considered (alimony, child support, investments)?
Yes
No
If yes, please explain: _________________________________________________________________________________________
Have you or any other prospective residents ever owned a home?
Yes
No
RENTAL AND CRIMINAL HISTORY - List a minimum of 24 months of rental/mortgage history.
___________________________________________________________________________________________________________
Name of Present Landlord
Monthly Rental Rate
Date Moved In
Date Moved Out
___________________________________________________________________________________________________________
Street Address
City
State
Zip
Telephone No.
___________________________________________________________________________________________________________
Name of Previous Landlord
Monthly Rental Rate
Date Moved In
Date Moved Out
(immediately prior to the Present Landlord)
(If Applicant and Applicant’s Spouse are completing this Application, name all Landlords for both parties)
___________________________________________________________________________________________________________
Street Address
City
State
Zip
Telephone No.
Have you or any other occupants listed on this Application ever (check if applicable); you represent the answer is “No” to any item
not checked below):
been evicted or asked to move out?
received deferred adjudication for either a felony, a sex
broken a rental agreement or lease contract?
related offense or a misdemeanor? If yes, please explain:
been or are currently delinquent to a previous landlord?
______________________________________________
declared bankruptcy; if so, when?: ___________________
been arrested for any crime which has not been fully
been convicted for either a felony, a sex-related offense or
adjudicated (by dismissal, acquittal, deferred adjudication
a misdemeanor? If yes, please explain: _______________
or conviction)? If yes, please explain: _______________
_______________________________________________
______________________________________________
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Riverstone Residential Group Rental Application
Revised January 2010
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