Residential Rental
Application
ocstoc Legal Agreements
This Residential Rental Application is intended to be used by Landlords to
provide to prospective tenants and obtain needed personal, family size,
income and other information.
ALL INFORMATION AND FORMS ARE PROVIDED “AS IS” WITHOUT ANY EXPRESS OR IMPLIED
WARRANTY, INCLUDING AS TO LEGAL EFFECT OR COMPLETENESS. They are for guidance and should be
modified by you or your attorney to meet your specific needs and the laws of your state. Use at your own
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®
are not a substitute for the advice of your own attorney. Subject to our Terms of Service
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Entire document © Docstoc, Inc., 2010, 2011
Attorney Drafted
© Copyright 2011 Docstoc Inc. registered document proprietary, copy not 1
RESIDENTIAL RENTAL APPLICATION
The undersigned hereby makes an application to rent the following property:
______________________________________________________________________________
____________________________________ [Instruction: Insert the address of the property].
PERSONAL INFORMATION
1. Full Name : _________________________________________
2. Social security number(SSN) : _________________________________________
3. Date of Birth : _________________________________________
4. Number of Dependents : _________________________________________
5. Name of the dependent with SSN: _________________________________________
a. _________________________________________
b. _________________________________________
c. _________________________________________
d. _________________________________________
INCOME INFORMATION
Employment Status: [___] Employed [___] Self Employed [___] Unemployed
Job Occupation and Title : _________________________________________
Average Monthly Income : _________________________________________
Duration of Employment : _________________________________________
Company Name : _________________________________________
Company Number : _________________________________________
Company Address : _________________________________________
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RESIDENTIAL HISTORY (LAST 2 YEARS)
1. Current Address of rental apartment/home : __________________________________
__________________________________
__________________________________.
Name of the Owner/Agent : __________________________________
Phone of the Owner/Agent : __________________________________
Moved in date : __________________________________
Rent : $ ______________
Reasons for Leaving :
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. Previous Address of rental apartment/home : __________________________________
__________________________________
__________________________________.
Name of the Owner/Agent : __________________________________
Phone of the Owner/Agent : __________________________________
Moved in date : __________________________________
Rent : $ ______________
Reasons for Leaving :
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
3. Previous Address of rental apartment/home : __________________________________
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__________________________________
__________________________________.
Name of the Owner/Agent : __________________________________
Phone of the Owner/Agent : __________________________________
Moved in date : __________________________________
Rent : $ ______________
Reasons for Leaving :
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
DESCRIBE CREDIT HISTORY
1. Have you declared bankruptcy in the past seven (7) years?
Yes ___________
No ____________.
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PERSONAL DECLARATION
I declare that the information that I have provided here are true and updated to the best of my
knowledge.
I hereby authorize the prospective landlord (Landlord's Name: ______________________) to
carry out any background and credit checks necessary to verify my particulars and standing.
I also authorize the prospective landlord to contact my current landlord, employer, next of kin
and other related person for references.
Important Note: Providing false information to a landlord in order to obtain a tenancy are legal
grounds for terminating that tenancy with immediate effect.
_________________________
Applicant’s Signature
Applicant's Name: ______________________
Date: ____ [Month] ____ [Date], 20____.
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delete the Instructions and Comments from open bracket (“[“) to close bracket (“]”) after
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practicing in your state, and be reasonable.
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