Rental Application Interest Form
Property/Unit Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Information
Move-In date
-
Month
-
Day
Year
Date
Tenant Application
Name of Applicant
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Marital Status
Single
Married
Divorced
Separated
Others
Driver's License Number
Date of Expiry
-
Month
-
Day
Year
Date
Do you have a Vehicle?
Please Select
Yes
No
Vehicle Details
Rows
Type
Model
Make
Year
Color
License No.
1
2
3
Number of other Occupants
Occupant Details
*
Do you have a history of being evicted before?
Yes
No
If yes, please provide more details below:
Do you smoke?
Yes
No
Have you been convicted of a felony?
Yes
No
If yes, what were you convicted of? (A conviction doesn’t automatically exclude you from the property)
Other
Do you have Pets
Yes
No
If yes, please specify the pet/s type and breed
Are you able to walk up and down the stairs?
Yes
Yes, but with assistance
No
Are you prescribed any medications?
Yes, I'm compliant
Yes, I'm complaint and need assistance taking my medication
No, I'm not compliant
No
Do you have any allergies?
Yes
No
What’s your 6 month goal? Year long goal?
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Reason for leaving
Is it rented or owned?
Rented
Owned
Current Employment Details
Company Name
Job Position/Occupation
Department
Company Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Hiring date
-
Month
-
Day
Year
Date
Monthly Salary Range
$1,000- 2,000
$2,000-4,000
$4,000-$6000
$6,000-8,000
$8,000-more
Annual Salary Range
$20,000- $30,000
$30,000- $50,000
$50,000-$70,000
$70,000-$90,000
$90,000-More
Supervisor Name
First Name
Last Name
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal References
References
Rows
Name
Relationship
Occupation
Phone
Location
1
2
3
House Rules
Did you read and agree to the house rules?
Yes
No
Agreement
Tenant Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: