BSC Rental Application

Roommates / Other Occupants

Rental History Please list your three most recent addresses or from past five years.

Employment History

Rows	Current Employer	Previous Employer	Previous Employer
Employed by
Position
Dates of Employment (From. To)
Monthly Income
Name of Supervisor
Supervisor's Phone #
Address Street, City, State, Zip

Other Income Sources

Rows	Type	Monthly Income	Name of Provider	Address Street, City, State, Zip	Phone #
1
2

Vehicles

Credit History:
Bank Name:
Address:
Checking account number:
List all credit obligations with minimum monthly payment:
Personal References
Name :
Phone Number:
Format: (000) 000-0000.
Address:
Name :
Phone Number:
Format: (000) 000-0000.
Address:
Agreement & Consent to Background Check
I believe that the statements I have made are true and correct. I hereby authorize the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history and all Unlawful Detainers. 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 a home or apartment and does not constitute a rental or lease agreement in whole or in 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.
Name*

First NameLast Name
Date:*

MonthDayYear
Date

CO-SIGNER
By signing this form, Co-signer authorizes the landlord to perform a credit check or background check, if necessary. Co-signer forms are accepted at the landlord's discretion, and a co-signer form does not in any way guarantee an applicant a rental unit. Failure to fully complete a requested co-signer form may result in the landlord refusing a rental application.
Personal Information
Full Name
Birth Date

MonthDayYear
Date
Social Security #
Driver's License # / State
Phone #
Format: (000) 000-0000.
Email
example@example.com
Current Employer Name / Phone #
It is hereby agreed that the aforementioned Co-signer will assume any and all responsibilities and/or obligations of the Leaseholder's share of expenses if the Leaseholder cannot or will not oblige. This Co-signer Agreement will remain in force throughout the entire term of the Leaseholder's tenancy, even if the tenancy is extended and/or changed in its terms.
Name

First NameLast Name
Date:

MonthDayYear
Date
Should be Empty:

Income