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Application to Rent or Lease
To download a paper form that can be mailed or faxed, click
Here
Personal Details
Title
Mr.
Mrs.
Ms.
Full Name
Date of birth
Social Security No.
Driver's License No.
E-mail
Mobile Phone No.
Home Phone No.
Past Legal Names
Work Phone No.
Additional Occupants
Full name
Relationship to Applicant
Full name
Relationship to Applicant
Full name
Relationship to Applicant
Full name
Relationship to Applicant
Residence
Current Residential Address
Address
City
State
Zip
Dates of Residence
Last Rent Paid ($)
Owner's Name
Owner's Phone
Reason for leaving
Most Recent Previous Residential Address
Address
City
State
Zip
Dates of Residence
Last Rent Paid ($)
Owner's Name
Owner's Phone
Reason for leaving
Second Most Recent Previous Residential Address
Address
City
State
Zip
Dates of Residence
Last Rent Paid ($)
Owner's Name
Owner's Phone
Reason for leaving
Employment
Current Employment
Employer Name
Job Title
Address
City
State
Zip
Phone
Monthly Income ($)
Supervisor Name
Employee Since
Prior Employment
Employer Name
Job Title
Address
City
State
Zip
Phone
Monthly Income ($)
Supervisor Name
Employee From
Employee Until
Vehicles
Primary Vehicle
Make
Model
Color
Year
License No.
Secondary Vehicle
Make
Model
Color
Year
License No.
Personal References
Notify in Case of Emergency
Full Name
Address
City
State
Zip
Phone
Relationship
Close Friend
Full Name
Address
City
State
Zip
Phone
Nearest Relative Living Separately
Full Name
Address
City
State
Zip
Phone
Relationship
Credit Information
Name/Address of Bank
Type
Checking
Savings
Current Balance
General Information
Do you smoke?
Yes
I do not smoke, nor do any other occupants I have listed
Have you ever filed for bankruptcy?
Yes
No
Do you have any music instruments
Yes
No
Do you have any water filled furniture?
Yes
No
Have you ever been convicted for selling, possessing, distributing, or manufacturing illegal drugs or convicted of any other crime?
Yes
No
Have you ever been evicted for non-payment of rent or any other reason?
Yes
No
Please further explain any questions to which you answered "Yes" above.
How many bedrooms do you need?
What is your price range?
What type of pet does your family have?
Name of Family Attorney
Terms And Conditions
Applicant represents that all information given on this application is true and correct.
Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references.
Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports.
Applicant agrees to furnish additional credit and/or personal references upon request.
Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy.
Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.
Signature
typed signature
Date
Drawn signature