Rental Application

ABOUT YOU


Full Legal Name:
Date of Birth:

Emal:
Phone:

Current Address

Address: Apt#:

City: State: Zip:

Landlords Name: Landlord's Phone:

Reason for Moving: Monthly rent:

When did you move in? Out?

Did you rent this residence? Was your name on the lease? Did you give written notice to leave?

Previous Address

Address: Apt#:

City: State: Zip:

Landlords Name: Landlord's Phone:

Reason for Moving: Monthly rent:

When did you move in? Out?

Did you rent this residence? Was your name on the lease? Did you give written notice to leave?

EMPLOYMENT

Name of Employer: Your Supervisor:
Supervisor's Email: Your position:

Address: Your start date:

Monthly salary:

Your Vehicle

Make: Model: Color:
License Plate Number: State:

Personal History

Have you ever...
Been asked to move out or evicted?
Broken a rental agreement or lease?
Declared Bankruptcy?
Been sued for nonpayment of rent?
Been sued for damage to a rental unit?
Been convicted of a felony?

Other Residents:

List the legal names and ages of ALL other people who will occupy this unit.
Names & Ages:

In Case of Emergency:

Emergency Contact: Phone:
Address: City: State: Zip:

PLEASE READ CAREFULLY

Applicant:


FOR INTERNAL USE ONLY:
Rent Amount: Security Deposit:
Lease Term: Move-in date:

Equal Housing Provider. It is against the law to discriminate against tenants on the basis of race, religion, national origin, age, or neighborhood racial makeup.