Rental Application Form

RENTAL APPLICATION

 

Address of Rental Property: _______________________________________________________________________________

Personal Information

Applicant Full Name: _______________________________________________ Social Security Number: __________________

Date of Birth: ________________  Phone number: _______________________   Email address: __________________________

Names of co-applicants (must fill out separate application):   _______________________________________________________

List all other persons to occupy apartment that are at least 18 years old:

Name: ______________________ Social Security #: ____________________ Date of Birth: _________

Name: _____________________ Social Security #: ____________________ Date of Birth: __________

Name: _____________________ Social Security #: ____________________ Date of Birth: __________

 

Rental History

 

Please list your addresses for the past five years.  Attach additional pages if necessary.

Current address: ________________________________________________________________________________________

How long at this address: __________Manager/Owner name:  ____________________________Phone number: _____________

 

Previous address: ________________________________________________________________________________________

How long at this address: __________Manager/Owner name:  ____________________________Phone number: _____________

 

Previous address: ________________________________________________________________________________________

How long at this address: __________Manager/Owner name:  ____________________________Phone number: _____________

 

Employment History

 

Please list your employers for the past five years.  Attach additional pages if necessary.

Current employer (company): ________________________________________________________

Address: ____________________________________Name of Supervisor: _______________________

Phone number: ____________ Length of time: _______ Position: _____________________________

 

Former employer (company): ___________________________________________________________

Address: _____________________________________Name of Supervisor: _______________________

Phone number: ______________ Length of time: ________ Position: ______________________

 

Former employer (company): __________________________________________________________

Address: ____________________________________Name of Supervisor: _______________________

Phone number: _______________ Length of time: ____________ Position: ___________________

 

Financial History

 

Present monthly income (estimate): __________________________________________________________________________

Any additional sources of income (please explain): ______________________________________________________________

Savings Account #: _____________________________Bank Name: ___________________________Balance: _____________

Checking Account #: ____________________________ Bank Name: __________________________ Balance: ____________

 

Pets

 

Pet #1 Animal type: __________ Name: ________________ Age: _______ Weight: _____ pounds  

Breed: ____________  Sex: ______ Spayed/Neutered (check):  ____ Yes   ____ No

 

Pet #1 Animal type: _________ Name: ________________ Age: _______ Weight: ______ pounds

Breed: ___________  Sex: ______ Spayed/Neutered (check):  ____ Yes   ____ No

 

I am willing to pay an additional Pet Deposit and I am willing to sign a Pet Agreement (check):  _____ Yes _____ No

 

Vehicle information

 

Vehicle #1 Make: ______________Model:_______________ Year: _______ Color: __________ License Plate #: ____________

Vehicle #2 Make: ______________Model:_______________ Year: _______ Color: __________ License Plate #: ____________

 

Personal History

 

Do you currently smoke? (Check) ______ Yes   _____ No

Have you ever been evicted? (Check) ______ Yes   ______ No  If yes, when and why: ___________________________________

_________________________________________________________________________________________________

Have you ever filed for bankruptcy? (Check) ______ Yes   ______ No  If yes, when and describe: __________________________

______________________________________________________________________________________________

Have you ever been convicted of a felony? (Check) ______ Yes   ______ No  If yes, when and why: ________________________

________________________________________________________________________________________________

 

References

 

Name: _______________________________________________ Phone Number: _____________________

Address: _________________________________________________________________________________________

Relationship: _______________Occupation: _____________________ Years known: ____________

 

Name: ______________________________________________ Phone Number: ___________________

Address: __________________________________________________________________________________

Relationship: ________________Occupation: ___________________ Years known: ____________

Emergency Contacts

Name: ______________________________________________ Phone Number: _____________________

Address: ______________________________________________Relationship: ______________________

 

Name: _______________________________________________ Phone Number: _____________________

Address: _______________________________________________Relationship: ______________________

 

Personal Statement/Comments

Please state any other relevant information you would like a landlord to know and consider: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Signature

Applicant represents that the above statements are true and correct and is aware that false information provided on this application is in itself grounds for rejection of the application or termination of tenancy.  Applicant hereby authorizes the release of any or all of the information relating to the aforementioned matters by any party, including but not limited to employers, law enforcement agencies, state agencies, institutions and information bureaus for the purposes of background investigation of this rental application.

Applicant’s signature: ____________________________________________________  Date:___________________________

Amount of deposit received with application (if any):_______________________________