Pl1
Rental Application for [address]_______________________________________________ Preferred move-in date: _____________________________________________________ Name: ____________________________________ Phone 1:__________________Phone 2 :______________ Drivers License/ID #:_______________________________________________ Birthdate:________________________________ E-mail:____________________________________ Present address:__________________________________________Landlord Phone: __________________ How long at this address?________________ Rent:_____________ Reason for moving:______________ _____________________________________________________________________________________________ Previous address:_____________________________________________________________________________ How long at this address?______________ Rent:________ Reason for moving:______________________ _____________________________________________________________________________________________ Name and relationship of every person to live with you, even if only temporarily (include children, if any):______________________________________________________________________________ _____________________________________________________________________________________________ Any pets?_________Please describe:_______________________________________Waterbed?________ Present occupation:_________________________________ Employer:______________________________ How long with this employer?_________________________ Supervisor:_____________________________ Supervisor phone:____________________ Previous occupation:________________________________ Employer:______________________________ How long with this employer?_________________________ Supervisor:_____________________________ Supervisor phone:____________________ Current gross (total) monthly income before deductions: ______________________________________ List sources and amounts of other income:____________________________________________________ Amount of alimony or child support you receive $_________________ or pay $____________________ Savings: BANK_______________________ Chequing: BANK______________________ Credit Card? ____VISA____MC_____AMEX________OTHER Have you ever filed for bankruptcy?________Been evicted?________Had a bad Landlord?_______ Vehicle(s) Make________________________________________________License Plate #_______________ Personal reference:___________________________________ Address:_______________________________ Phone:____________________________________________ Relationship:______________________________ Contact in case of Emergency:_______________________________________________________________ Address:_____________________________________________________ Phone:_________________________ I declare that the above statements are true and correct. I authorize verification of my references and credit as they relate to my tenancy and future rent collections. Date:___________________________ Signed:_____________________________________________________
For office S.I.N.______ DL/ID _____ CurTenancy____ Prev____ Credit____Inc___Pers Refs______ by____ Verified:use only:
Verified: S.______ DL/ID _____ CurTenancy____ Prev____ Credit____Inc___Pers Refs______ by___________