Lease application

TEXAS ASSOCIATION OF REALTORS RESIDENTIAL LEASE APPLICATION
USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS IS NOT AUTHORIZED.

©Texas Association of REALTORS®, Inc. 2012 Each occupant and co-applicant 18 years or older must submit a separate application.
Property Address
Anticipated: Move in Date

MonthDayYear
Date
Monthly Rent
Security Deposit
Other

Property Address: Anticipated: Move-in Date: Applicant was referred to Landlord by: Real estate agentNewspaperSignInternetOther
Name

First NameLast Name
Applicant's name (first, middle, last)
If yes, co-applicant must submit a separate application.

Is there a co-applicant? Applicant's former last name (maiden or married)no
Applicant's former last name (maiden or married)
E mail
example@example.com
Home Phone
Work Phone
Mobile/Pager
Date of Birth

MonthDayYear
Date
Soc. Sec. No.
Driver License No.
in
Height
Weight
Eye Color
Hair Color
Marital Status
Citizenship
Emergency Contact: (Do not insert the name of an occupant or co-applicant
Name
Address
Phone
E mail
example@example.com
Name all other persons who will occupy the Property: Name:
Name
Name
Name
Name
Relationship: Relationship: Relationship: Relationship:
Relationship
Age
Relationship
Age
Relationship
Age
Relationship
Age
Applicant's Current Address
Apt. No.
Landlord's Name
Email
example@example.com
Phone:Day
Nt
Mb
Fax
Date Moved In

MonthDayYear
Date
Move Out Date

MonthDayYear
Date
Rent $
Reason for move
Applicant's Previous Address
Apt. No.
Previous Landlord's Name
Email
example@example.com
Phone: Day
Nt
Mb
Fax
Date Moved In

MonthDayYear
Date
Date Moved Out

MonthDayYear
Date
Rent $
Reason for move
Applicant's Current Employer: Address:
Applicant's Current Employer
Address
Supervisor's Name
Phone
Fax
E mail
example@example.com
Start Date

MonthDayYear
Date
Gross Monthly Income
Position
Note: If Applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional. Page 1 of 4

Central Metro Realty 7901 Cameron Rd. Ste. 3-287 Austin, TX 78754 Phone: 512.921.7537Fax: 512.275.1097
(TAR-2003) 1-1-12
Residential Lease Application concerning
Applicant's Previous Employer: Address:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone
(TAR-2003) 1-1-12
Supervisor's Name:

First NameLast Name
Gross Monthly Income
Phone Number
Please enter a valid phone number.
Fax
Email
example@example.com
Date

MonthDayYear
Date
Date

MonthDayYear
Date
Position
Describe other income Applicant wants considered:
List all vehicles to be parked on the property: Type, Year, Make, Model, License/State Mo. Payment

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Privacy Policy: Landlord's agent or property manager maintains a privacy policy that is available upon request.
Fees: Applicant submits a non-refundable fee of $ Amount for processing and reviewing this application and(check only one box & Fill if applicable):
in accordance with the attached Agreement for

to be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed
in accordance with the attached Agreement for

Applicant if a lease is not executed. 2 an Application Deposit of $ Application Deposit and Hold on Property TAR No. 2009 or similar agreement
Acknowledgement & Representation:

(1) Signing this application indicates that Applicant has had the opportunity to review Landlord's tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.

(2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.

(3) Applicant represents that the statements in this application are true and complete.
Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

AUTHORIZATION TO RELEASE INFORMATION RELATED TO A RESIDENTIAL LEASE APPLICANT
USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS IS NOT AUTHORIZED.

©Texas Association of REALTORS®, Inc. 2012

(Applicant), have submitted an application

to lease a property located at

The landlord, broker, or landlord's representative is:

(name) (address) (city, state, zip) (fax) (e-mail)

(1) to my current and former employers to release any information about my employment history and income history to the above-named person;

(2) to my current and former landlords to release any information about my rental history to the above-named person;

(3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person;

(4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and

(5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Note: Any broker gathering information about an applicant acts under specific instructions to verify some or all of the information described in this authorization. The broker maintains a privacy policy which is available upon request.

Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
Should be Empty:

TEXAS ASSOCIATION OF REALTORS RESIDENTIAL LEASE APPLICATION

(TAR-2003) 1-1-12

(TAR-2003) 1-1-12

AUTHORIZATION TO RELEASE INFORMATION RELATED TO A RESIDENTIAL LEASE APPLICANT