TENANT RENTAL LEASE APPLICATION (If not married, please use one application per tenant) NAME_____________________________________ NAME_____________________________________ SSN_________________ SSN_________________
HOME PHONE__________________ OFFICE/CELL ___________________ PRESENT ADDRESS: ____________________________________________________ HOW LONG AT THIS ADDRESS:___________ LANDLORD FOR THIS ADDRESS________________________ PHONE_____________ PREVIOUS ADDRESS:____________________________________________________ HOW LONG AT THIS ADDRESS:____________ LANDLORD FOR THIS ADDRESS________________________PHONE______________ PREVIOUS ADDRESS:____________________________________________________ HOW LONG AT THIS ADDRESS:____________ LANDLORD FOR THIS ADDRESS________________________PHONE______________ EMPLOYMENT INFORMATION: PRESENT EMPLOYER NAME/ADDRESS/PHONE:__________________________________________________________ HOW LONG AT THIS JOB:______ SUPERVISOR NAME/NUMBER___________________________ POSITION HELD_____________________ MONTHLY GROSS INCOME: ____________________ PREVIOUS EMPLOYER NAME/ADDRESS/PHONE:__________________________________________________________ HOW LONG AT THIS JOB:______ SUPERVISOR NAME/NUMBER___________________________ POSITION HELD_____________________ MONTHLY GROSS INCOME: ____________________ SPOUSE EMPLOYMENT INFORMATION: PRESENT EMPLOYER NAME/ADDRESS/PHONE:__________________________________________________________ HOW LONG AT THIS JOB:______ SUPERVISOR NAME/NUMBER___________________________ POSITION HELD_____________________ MONTHLY GROSS INCOME: ____________________ PREVIOUS EMPLOYER NAME/ADDRESS/PHONE:__________________________________________________________ HOW LONG AT THIS JOB:______ SUPERVISOR NAME/NUMBER___________________________ POSITION HELD_____________________ MONTHLY GROSS INCOME: ____________________ REFERENCES - PERSONAL PERSONAL REFERENCE CITY/STATE PHONE HOW LONG KNOWN 1.__________________________________________________________________________ 2.__________________________________________________________________________
RELATIVE
1.__________________________________________________________________________ 2.__________________________________________________________________________ REFERENCES - CREDIT BANK:_____________________________________________ ACCT #:__________________ OTHER:____________________________________________ ACCT #:__________________ OTHER:____________________________________________ ACCT #:__________________ Page 1
VEHICLE INFORMATION MAKE/MODEL/YEAR VEHICLE 1:__________________________________________ VEHICLE 2:__________________________________________ VEHICLE 3:__________________________________________ APPLICANT DRIVER’S LICENSE NUMBER AND STATE: __________________________ SPOUSE’S DRIVER’S LICENSE NUMBER AND STATE:____________________________ PET INFORMATION DO YOU HAVE PETS? Y OR N IF SO, HOW MANY AND WHAT KIND:________________________________________ **PLEASE NOTE: NON-REFUNDABLE PET DEPOSIT OF $250 REQUIRED FOR ALL PETS PLEASE ANSWER THE FOLLOWING QUESTIONS: please circle 1. HAVE YOU/SPOUSE EVER FILED A PETITION OF BANKRUPTCY? Y OR N
2. HAVE YOU/SPOUSE EVER BEEN EVICTED FROM ANY TENANCY OR HAD AN EVICTION NOTICE SERVED ON YOU? Y OR N 3. HAVE YOU EVER WILLFULLY AND INTENTIONALLY REFUSED TO PAY ANY RENT WHEN DUE: Y OR N 4. HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR OR FELONY OTHER THAN A TRAFFIC OR PARKING VIOLATION? Y OR N 5. ARE YOU A CURRENT ILLEGAL ABUSER OF ADDICT OF A CONTROLLED SUBSTANCE? Y OR 6. HAVE YOU EVER BEEN CONVICTED OF THE ILLEGAL MANUFACTURING OR DISTRIBUTION OF A CONTROLLED SUBSTANCE? Y OR N N
I/WE, DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AUTHORIZE IT’S VERIFICATION, AND THE OBTAINING OF A CREDIT REPORT. I AGREE TO PAY TO THE LANDLORD OR HIS AGENT A NON-REFUNDABLE SCREEN FEE OF $15.00/PER PERSON WITH THIS APPLICATION. I FURTHER AGREE THAT THE LANDLORD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISSTATEMENT MADE ABOVE. _____________________________________ APPLICANT’S SIGNATURE _____________________________________ SPOUSE’S SIGNATURE _____________________ DATE _____________________ DATE