rental application Form for Vendure

Bank name*

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Checking account number *

List all credit obligations with minimum monthly payment

Have any of the occupants listedabove ever been: convictedof a felony?*

yesno

received deferred adjudication for a felony?*

yesno

been evicted?*

yesno

broken a lease?*

yesno

declared bankruptcy?*

yesno

The above listed applicant declares that all statements made in this application are true and complete Applicant hereby authorizes the National Association of Independent Landlords to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicant's If applicant or applicant's spouse has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application Applicant shall give Landlord a nonrefundable application fee in the amount of $ *

Signature of applicant

Signature of Spouse

Date

Please verify that you are human*

Applicant

Applicant's Employment

Spouse

Spouse's Employment

Present Landlord or mortgage company

Personal References

Emergency

Occupants

Pets

Vehicles

Credit / CriminalHistory