House Rental Application Form

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HOUSE RENTAL APPLICATION
The undersigned hereby makes this application to:
Property Owner ►
City & State ►
to rent a _________________ bedroom house for a lease term of ________________________________________________ months,
commencing on _________________________________, 2________, at a monthly rental of $______________________________________________.
HOUSE OCCUPANTS:
APPLICANT:
Full Name: _______________________________________________________________________________________________________________
First
Middle
Last
Social Security Number: _________________________________________
Date of Birth: ________________________________________
CO-APPLICANT:
Full Name: _____________________________________________________________________________________________________________
First
Middle
Last
Social Security Number:
Date of Birth: __________________________________
OTHER OCCUPANTS:
Name: _______________________________ DOB: ________________ SS#: ______________________ Relationship: ___________________
Name: _______________________________ DOB: ________________ SS#: ______________________ Relationship: ___________________
Name: _______________________________ DOB: ________________ SS#: ______________________ Relationship: ___________________
APPLICANT MARITAL STATUS:
Single ________ Married ________ Separated _______
Divorced _______
CURRENT / PREVIOUS ADDRESSES:
Have you ever lived in an apartment community or house managed by Lindsey Management Co., Inc.? Yes______ No_______
If yes, which apartment or what house address? Apt. Name/House Address______________________________________
City_________________________ State____________ When? _________________
CURRENT ADDRESS:
Rent: $
How Long: ________________________
Street Address
Apt. #
Landlord Name:
____________________________________________
City
Zip Code (Required)
Landlord Phone:
____________________________________________
Phone
Date Moved Out
_______________________________________________________________________________________________________________
Reason for Moving
Lindsey Management Company, Inc.-Homes Division
HD-1101—07.14.11

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