rent app

							                                    RENTAL APPLICATION

ALL APPLICANTS MUST FILL OUT SEPARATE APPLICATIONS..

                                                               HUD: Y or N
                                                              Voucher Amount (Max):____________

Address applying for:_____________________________________________________


Name ______________________________________ Date of Birth ______________________________
      First      Middle      Last

Home Phone _________________________________ Work Phone ______________________________

Cell Phone___________________________________ Other Phone_____________________________

Email address________________________________________________________________________

Social Security # ______________________________ Driver's License # __________________________

Present Address ______________________________________________________________________

How long at this address? _____________________________ Rent $ ____________________________

Reason for moving ____________________________________________________________________

Owner/Manager _____________________________________Phone:____________________________

Previous Address _____________________________________________________________________

How long at this address? ________________________________ Rent $ _________________________

Reason for moving ____________________________________________________________________

Owner/Manager ______________________________________________________________________

Name, relationship and age of every person to live with you

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Any pets? ___________ Describe ________________________________________________________

Waterbed? __________________

Present Occupation ___________________________________________________________________

Employer Phone ______________________________________________________________________

Supervisor Phone _____________________________________________________________________

How long with this employer? ____________________________________________________________
Previous Occupation ___________________________________________________________________

Employer Phone _______________________________________________________________________

Supervisor Phone ______________________________________________________________________

How long with this employer? _____________________________________________________________

Current gross income per month (before deductions) $
___________________________________________

Amount of alimony or child support you pay: $ ________________________________________________

receive: $ __________________

Savings Account Bank __________________________________________________________________

Branch ______________________________________ Account No. ______________________________

Checking Account Bank _________________________________________________________________

Branch ______________________________________ Account No. ______________________________

Major Credit Card ________________________________ Acct. No. ______________________________

Credit Reference ______________________________ Acct. No. _________________________________

Balance Owed _________________________________ Payment _________________________________

Vehicle(s):

Make ___________________________ Model ____________________________ Year ______________

Make ___________________________ Model ____________________________ Year ______________

Personal Reference: Name ________________________________________________________________

Address ______________________________________________ Phone _________________________

Contact in Emergency: Name ______________________________________________________________

Address ______________________________________________ Phone _________________________

Have you ever had an eviction filed against you? ______

Have you ever left owing money to any owner or landlord?______

Have you ever applied for residency anywhere in the past 2 years, but did not move?______

Have you ever had adjudication withheld or been convicted of a crime?_______

IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS PLEASE EXPLAIN IN
DETAIL THE CIRCUMSTANCES REGARDING THE SITUATIO ON THE LAST PAGE OF THIS
APPLICATION.

Applicant represents that all of the above statements information o the application for rental are true and
complete, and hereby authorizes an investigative consumer report and verification of any and all
information relating to residential history (rental or mortgage), employment history, criminal history
records, court records, and credit records. Applicant acknowledges that false or omitted information herein
may constitute grounds for rejections of this application, termination of occupancy, and/or forfeiture of fees
or deposits and may constitute a criminal offense under the laws of this state. I hereby release Equifax and
any of the above from any liability and responsibility arising from their doing so. Facsimiles of this
authorization may be used to facilitate multiple inquiries.

In the even you receive a facsimile of this authorization, it should be treated as an original and the
requested information should be release to facilitate my application for residency.

I understand that any deposit paid to hold a unit is non-refundable unless prospective tenant is not
approved.

___________________________                   ___________________________
Date                                           Signature