Rental Application Form
Date Provided ______________________________________________________________________________________
Name ______________________________________ Social Security # _______________________________________
Type and Size of Apartment Wanted _________________________________________________________________
Desired Date of Occupancy __________________________________________________________________________
OTHER
OTHER RESIDENTS RELATIONSHIP
What type of pets do you own? _____________________________________________________________________
Present Address ____________________________________________________________________________________
Zip Code_________________________________ Phone__________________________________________________
Present Rent $__________________ Including what Utilities _________________________________________
Length of Time at Present Address ___________________________________________________________________
Reason for Moving _________________________________________________________________________________
Present Landlord: Name________________________________________________________________________
Address______________________________________________________________________
Telephone____________________________________________________________________
Previous Landlord’s Name, Address & Telephone ______________________________________________________
_____________________ Dates _______________ Reason for Moving ______________________________________
Previous Landlord’s Name, Address & Telephone ______________________________________________________
_____________________ Dates _______________ Reason for Moving ______________________________________
Previous Landlord’s Name, Address & Telephone ______________________________________________________
_____________________ Dates _______________ Reason for Moving ______________________________________
Previous Landlord’s Name, Address & Telephone ______________________________________________________
_____________________ Dates _______________ Reason for Moving ______________________________________
Employment
Current Employer: _____________________________ Address: ____________________________________________
Address and Telephone Number: ____________________________________________________________________
Length of Employment: _________ Salary: _________ Supervisor: ________________________________________
Job Title: __________________________________________________________________________________________
Previous Employer: _____________________________ Address: ___________________________________________
Address and Telephone Number: ____________________________________________________________________
Length of Employment: _________ Salary: _________ Supervisor: ________________________________________
Job Title: __________________________________________________________________________________________
Credit Information
Bank Name: _________________________________________________ Checking: ______ Savings: ______________
Credit Reference: ___________________________________________________________________________________
Credit Reference: ___________________________________________________________________________________
Other Income (List all sources): ______________________________________________________________________
Automobile
Make: _______________________ Model: _____________________ Year: ___________________________________
Registration Plate Number: __________________________________ State: _________________________________
In Case of Emergency, Notify
Name: ________________________________________ Relationship: ________________________________________
Address: ______________________________________ Telephone Number: _________________________________
I hereby apply for an apartment. By signing this form, I understand that credit and reference checks will
be undertaken to determine my rental history and my ability to pay rent. With my signature below, I
request all present and previous landlords, credit reporting services, employers, lien holders, and credit
and personal references to disclose any and all pertinent information concerning me.
Applicant Signature: ________________________________________________________________________________
Signature Date: ____________________________________________________________________________________