RENTAL APPLICATION

RENTAL APPLICATION
- Each adult (18 or older) must fill out a separate application
First Name
Middle Name
Last Name
Birth Date

Month Day Year
Date
Social Security #
Driver’s License #
Any Other Names You’ve Used In The Past
Home Phone
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
All Other Proposed Occupants - please list names, birth dates, and relationships to applicant.
RENTAL/RESIDENCE HISTORY

	Current Residence	Previous Residence	Prior Residence
Street Address
City
State & Zip
Last Rent Amount Paid
Owner/Manager and Phone Number
Is/Was rent paid in full?
Did you give notice?
Were you asked to move?
Name(s) in which your utilities are now billed:
Dates of Residency - List Move-in & Move-out Dates
Reason for leaving

EMPLOYMENT HISTORY

	Current Employment	Previous Employment	Prior Employment
Employed By
Address
Employer’s Phone
Occupation
Name of Supervisor
Monthly Gross Pay
Dates of Employment - List Start & End Dates

CREDIT HISTORY

	Bank/Institution Name	Balance on Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan

VEHICLES (Include vehicles belonging to other proposed occupants also)

	Make	Model	Color	Year	License Plate
Vehicle 1
Vehicle 2
Vehicle 3

REFERENCES & EMERGENCY CONTACTS

By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you. Furthermore, if you abandon the apartment for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.

	Doctor	Lawyer	Nearest Relative Living Elsewhere
Name
Street Address
City
State & Zip
Phone Number

GENERAL INFORMATION
Have you ever been served a late rent notice?
Do any of the people who would be living in the apartment smoke?
How long do you think you would be renting from us?
Have you ever filed for bankruptcy? If so, when?
When would you be able to move in?
Have you ever been convicted of a felony?
Have you ever been served an eviction notice? If so, when?
How many pets do you have (list Type, Breed, approx Weight & Age)?
Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain.
Why are you moving from your current address?
List any verifiable sources and amounts of income you wish to have considered (optional):
If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person’s name, address, & phone # so that we can use them as a reference for you.

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Have you been a party to a lawsuit in the past? If yes, please explain why.
We reserve the right to run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?
How did you hear about this apartment?
Do you have an e-mail address we can reach you at?
example@example.com
Agreement & Authorization Signature
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.
Signature

Clear
Date

Month Day Year
Date
Should be Empty:

RENTAL APPLICATION

RENTAL/RESIDENCE HISTORY

EMPLOYMENT HISTORY

CREDIT HISTORY

VEHICLES (Include vehicles belonging to other proposed occupants also)

REFERENCES & EMERGENCY CONTACTS

GENERAL INFORMATION

Agreement & Authorization Signature