Rental Application for Tarter Rentals

Rental Application for Tarter Rentals
- Each adult (18 or older) must fill out a separate application
- There is a non-refundable fee of $20 per adult to apply Application for
Please fill out all required sections completely. Incomplete forms will be rejected.
Application for Occupancy of*
Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Date
Any other names you have used in past
Home Phone
Cell Phone
E-mail address*
johnsmith@example.com
All Other Proposed Occupants
Occupant 1
Age
Relationship
Occupant 2
Age
Relationship
Occupant 3
Age
Relationship
Please fill out all required sections completely. Incomplete forms will be rejected.
Residence History
Current Residence
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Rent Amount Paid*
If you have not paid rent before, put N/A
Phone Number
Please enter a valid phone number.
Reason for Leaving*
Is/Was Rent Paid in Full?*

YesNoN/A
Did You Give Notice?*

YesNoN/A
Were You Asked to Move?*

YesNo
Utilities Are/Were Billed to:*
From*

MonthDayYear
When did you start living here?
To*

MonthDayYear
When did you stop living here?
Previous Residence
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Rent Amount Paid
If you have not paid rent before, put N/A
Phone Number
Please enter a valid phone number.
Reason for Leaving
Is/Was Rent Paid in Full?

YesNoN/A
Did You Give Notice?

YesNoN/A
Were You Asked to Move?

YesNo
Utilities Are/Were Billed to:
From

MonthDayYear
When did you start living here?
To

MonthDayYear
When did you stop living here?
Prior Residence
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Last Rent Amount Paid
If you have not paid rent before, put N/A
Phone Number
Please enter a valid phone number.
Reason for Leaving
Is/Was Rent Paid in Full?

YesNoN/A
Did You Give Notice?

YesNoN/A
Were You Asked to Move?

YesNo
Utilities Are/Were Billed to:
From

MonthDayYear
When did you start living here?
To

MonthDayYear
When did you stop living here?
Please fill out all required sections completely. Incomplete forms will be rejected.
Employment History
Current Employment
Employed By*
Company Name
Address*
Street Address, City, State, Zip Code
Employer's Phone #*
Please enter a valid phone number.
Occupation*
Job Title
Supervisor Name*
First Name
Supervisor's Phone #*
Please enter a valid phone number.
Monthly Gross Pay*
From*

MonthDayYear
To

MonthDayYear
Previous Employment
Employed By
Company Name
Address
Street Address, City, State, Zip Code
Employer's Phone #
Please enter a valid phone number.
Occupation
Job Title
Supervisor Name
First Name
Supervisor's Phone #
Please enter a valid phone number.
Monthly Gross Pay
From

MonthDayYear
To

MonthDayYear
Prior Employment
Employed By
Company Name
Address
Street Address, City, State, Zip Code
Employer's Phone #
Please enter a valid phone number.
Occupation
Job Title
Supervisor Name
First Name
Supervisor's Phone #
Please enter a valid phone number.
Monthly Gross Pay
From

MonthDayYear
To

MonthDayYear
Please fill out all required sections completely. Incomplete forms will be rejected.
Credit History
Savings Account
Bank/Institution Name*
Balance on deposit or owed*
Checking Account
Bank/Institution Name*
Balance on deposit or owed*
Credit Card
Bank/Institution Name*
Balance on deposit or owed*
Auto Loan
Bank/Institution Name*
Balance on deposit or owed*
Please fill out all required sections completely. Incomplete forms will be rejected.
Vehicles

Include any vehicles belonging to other proposed occupants
Vehicle 1
Make*
Model*
Color*
Year*
Plate #*
Vehicle 2
Make
Model
Color
Year
Plate #
Please fill out all sections completely. Incomplete forms will be rejected.
References & Emergency Contacts
Doctor
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Lawyer
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Nearest Relative Living Elsewhere
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
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 property for any reason then you grant us permission to allow your relative listed above to remove all personal contents in the dwelling on your behalf.
Please fill out all required sections completely. Incomplete forms will be rejected.
General Information
Have you ever been served a late rent notice?*

YesNo
Our properties are non-smoking. Initial that you understand*
How long do you think you would be renting from us?*
Have you ever filed for bankruptcy?

YesNo
If yes, when?*
If you answered no, please write N/A
When would you like to move in?*

MonthDayYear
Date
Have you ever been convicted of a felony?*

YesNo
Have you ever been served an eviction notice?*

YesNo
If yes, when & why.*
If you answered no, please write N/A
How many pets do you have? List type, breed, approx. weight & age.*
Have you had re-occurring 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)
Have you been a party to a lawsuit in the past? If yes, please explain why.*
If you answered no, please write N/A
We may run a credit check & a criminal background check. Is there anything negative we will find that you want to comment on?*
How did you hear about this property?*
Do you know anybody else looking for a rental? Please provide their name and phone #. If you refer a friend & you each rent separate property from us we will pay you a referral award
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 occupancy and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the property. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.
Signature*
Date*

MonthDayYear
Date
Please mail completed application along with appropriate application fee to: Tarter Rentals, 602 Broadway, Lincoln, IL 62656. Phone 217-735-4117 if you have any questions. Applications may be faxed to 217-732-8490, but will not be processed until we receive the application fee.
Should be Empty:

All Other Proposed Occupants

Residence History

Employment History

Credit History

Vehicles

References & Emergency Contacts

General Information

Agreement & Authorization Signature