Print and complete:
Rental Application
Personal:
Applicant _______________________________________
Date of Birth________________________
Phone # ________________________________________
Social Security # ______________________
Occupants:
Full Name: Age: Relationship:
1. ____________________________ _______ __________________
2. ____________________________ ______ __________________
3. ____________________________ ______ __________________
4. ___________________________ _____ __________________
Employment:
Employer: __________________ Address: _______________________
Phone #: ____________ Length of time there: ___________
Monthly/Weekly/or Hourly Income: __________
Employer: __________________ Address: _________________________
Phone #: _______________ Length of time there: ____________
Monthly/Weekly/or Hourly Income: __________
* If less than 2 years at current employer, please list previous employment*
References:
-Current Residence:
Owner: _____________________________ Phone: _________________
Rental Amount: _________
Address: ____________________________________________
Length of time there: ____________
Reason for moving:___________________________________________
-Previous Residences:
Rental Amount: _________
Address: ____________________________________________
Length of time there: ____________
Owner: _____________________________ Phone: _________________
Rental Amount: _________
Address: ____________________________________________
Length of time there: ____________
-Personal:
Name: _______________________
Address: _________________________Phone #: ______________
Name: _______________________
Address: _________________________Phone #: ______________
Have you ever been sued, garnished, or evicted? Yes _______ No_______
If yes, explain: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Emergency contact person:
Name: ____________________________________
Address: ___________________________________
Phone #: __________________________________
