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Residential Rental Application - PDF

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Residential Rental Application - PDF Powered By Docstoc
					                                   Residential Rental Application
                 Each applicant 18 years of age or older must fill out a separate application




                                               FOR OFFICE USE ONLY
Address:                                                                                     Apartment No.




Monthly Rent:                                                                                Move-in Date:




                                              TENTANT INFORMATION
Last Name                      First Name                                         Middle Initial                 Social Security No.



Home Phone No.                 Cell Phone No.                                     Email Address



Date Of Birth                  Driver’s License Number                            Issued State                   Expiration Date




                                                 ADDITIONAL TENANTS
                        Please provide the names of each additional person who will be occupying the apartment
Full Name                                                                                                        DOB



Full Name                                                                                                        DOB



Full Name                                                                                                        DOB



Full Name                                                                                                        DOB



Full Name                                                                                                        DOB
                                                    RENTAL HISTORY
Current Address                                           City                                 State                         Zip



Move-In Date           Move-out Date                      Owner/Manager Name                            Owner/Manager Phone No.



Reason For Moving                                                                                       Monthly Rent



Previous Address                                           City                                 State                         Zip



Move-In Date           Move-out Date                      Owner/Manager Name                            Owner/Manager Phone No.



Reason For Moving                                                                                       Monthly Rent




                                           EMPLOYMENT INFORMATION
                                                        CURRENT EMPLOYER
Company Name:



Address                                          City                                  State                           Zip



Phone No.                 Employment Length                         Title                                    Gross Monthly Income



Other Monthly Income      Source(s) of Other Income (e.g., alimony, disability etc.)



                                                     PREVIOUS EMPLOYER
Company Name:



Address                                          City                                  State                           Zip



Phone No.                 Employment Length                         Title                                    Gross Monthly Income
                                     BANKING INFORMATION
Bank Name                            Account Number                                                Type
                                                                                                             ☐Checking      ☐Savings

Address                                                                                            Phone No.


Bank Name                            Account Number                                                Type
                                                                                                             ☐Checking      ☐Savings

Address                                                                                            Phone No.




                                    CREDITOR INFORMATION
Creditor Name                        Description                                          Amount Owed                   Monthly Payment


Creditor Name                        Description                                          Amount Owed                   Monthly Payment


Creditor Name                        Description                                          Amount Owed                   Monthly Payment


Creditor Name                        Description                                          Amount Owed                   Monthly Payment




                                               VECHICLE(S)
Make                       Model                                                Year                    License No.


Make                       Model                                                Year                    License No.


Make                       Model                                                Year                    License No.




                              PERSONAL / CREDIT REFERENCES
                Please provide the names of three (3) people not related to you by blood or marriage.
Full Name                       Phone No.                                 Relationship                                Length Known


Full Name                       Phone No.                                 Relationship                                Length Known


Full Name                       Phone No.                                 Relationship                                Length Known
                                                         ADDITIONAL INFORMATION
Have you ever been convicted of a felony?                Have you ever been evicted or asked to move?         If yes, when?

               Yes ☐               No☐                                      Yes ☐    No☐
Have you had 3 or more late payments in the past year?   If yes, explain.

              Yes ☐                 No☐
Have you filed for bankruptcy in the past 7 years?       Have you had a property foreclose in the last 7      Do you have any water filled furniture?
                                                         years?
               Yes ☐               No☐
                                                                         Yes ☐        No☐                     Yes ☐       No☐
Do you have any pets?                                    If yes, please provide the type & size.

              Yes ☐                 No☐



                                                            Emergency Contact(S)
Name                                                          Relationship                                          Phone No


Name                                                          Relationship                                          Phone No


Name                                                          Relationship                                          Phone No




To the best of my knowledge, the information I have provided in this rental application is true, complete and accurate. I hereby
authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all
names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this
application. I also understand that this is an application for an apartment and does not constitute a rental lease or agreement in
whole or in part. I understand that there is a non-refundable fee to cover the cost of processing my application and that I am in
no way shape or form entitles to a refund.




Tenant Signature:                                                                                          Date: