Rental Application Form

Rental Application Form
Applicant Name

First NameLast Name
Date of birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you smoke?

YesNo
Are you a Convicted Felon?

YesNo
Have you ever been Evicted?

YesNo

Emergency Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.

Current landlord Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Start Date

MonthDayYear
Date
Monthly Date

Previous Landlord's Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Monthly Rent
$
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current Employment
Company Name
Starting Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Name

TitleFirst NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Salary $
Monthly

Reference
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Notes

Proof of Employment/Income
ID Picture

Driver's License, State ID, Passport, etc.
Cancelof
Employment/Income Proof

Employment Letter, Two Months Pay Stubs, etc.
Cancelof
Full Credit Report

Cancelof