RENTAL APPLICATION – TO BE COMPLETED BY EACH OCCUPANT OVER THE AGE OF 18 EVEN IF
THE PARTY WILL NOT BE CONTRIBUTING FINANCIALLY TO RENT.
APPLICANT INFORMATION
NAME________________________________________________________________________________
CURRENT ADDRESS_____________________________________________________________________
PHONE AND EMAIL_____________________________________________________________________
DATE OF BIRTH________________________________________________________________________
SOCIAL SECURITY NUMBER_______________________________________________________________
OCCUPANT UNDER 18_____________________________DOB__________RELATIONSHIP____________
OCCUPANT UNDER 18_____________________________DOB __________RELATIONSHIP____________
OCCUPANT UNDER 18_____________________________DOB__________RELATIONSHIP____________
RENTAL HISTORY
CURRENT ADDRESS_____________________________________________________________________
MONTHLY RENT________________________________________________________________________
DURATION____________________________________________________________________________
OWNER / MANAGERS NAME______________________________________________________________
OWNER / MANAGERS CONTACT INFO______________________________________________________
PREVIOUS RESIDENCE___________________________________________________________________
MONTHLY RENT________________________________________________________________________
DURATION____________________________________________________________________________
OWNER / MANAGERS NAME______________________________________________________________
OWNER / MANAGER CONTACT INFO_______________________________________________________
EMPLOYMENT AND INCOME
CURRENT EMPLOYER____________________________________________________________________
EMPLOYER VERIFICATION CONTACT________________________________________________________
HOURLY OR SALARY AND # OF HOURS MONTHLY_____________________________________________
MONTHLY GROSS INCOME_______________________________________________________________
HOW LONG AT CURRENT JOB? ___________________________________________________________
PREVIOUS OR SECOND EMPLOYER_________________________________________________________
EMPLOYER VERIFICATION CONTACT________________________________________________________
MONTHLY GROSS INCOME_______________________________________________________________
OTHER SOURCES OF INCOME (Provide details of all sources of income and verification information)
CREDIT HISTORY BALANCE OR OWED
BANK AND CHECKING ACCOUNT #_________________________________________________________
BANK AND SAVINGS ACCOUNT #__________________________________________________________
CREDIT CARDS_________________________________________________________________________
AUTO LOAN AND MONTHLY PAYMENT_____________________________________________________
ADDITIONAL DEBT AND MONTHLY PAYMENT________________________________________________
GENERAL INFORMATION
EVER BEEN LATE OR DELINQUENT ON RENT__________________________________________________
EVER BEEN A PARTY TO A LAW SUIT________________________________________________________
DO YOU OR ANYONE IN APPLICATION SMOKE OR VAPE?_______________________________________
DO YOU HAVE ANY PETS? IF SO, WHAT TYPE, BREED, AND HOW
MANY________________________________________________________________________________
_____________________________________________________________________________________
WHY ARE YOU MOVING FROM CURRENT ADDRESS?___________________________________________
ANYTHING NEGATIVE IN YOUR CREDIT BACKGROUND YOU WOULD LIKE TO COMMENT ON
_____________________________________________________________________________________
REFERENCES
NAME PHONE # RELATIONSHIP
1____________________________________________________________________________________
2____________________________________________________________________________________
3____________________________________________________________________________________
By signing I verify the statements in this application are true and correct. I authorize the use of the
information and contacts provided to complete a credit, reference or background check. I understand
that false or lack of information may result in rejection of this application.
SIGNATURE OF APPLICANT_______________________________________________________________
DATE_________________________________________________________________________________
PLEASE ALSO PROVIDE PHOTO OF DRIVERS LICENSE OR STATE ISSUED ID
