Rental Application (Fee: $25)
Address of property:___________________________________________________________________ Applicant Full Name (include all names you use (d)): _________________________________________ Home Phone: ________________________ ______________________________________ Work Phone: Social Security Number: ________________________________________________________________ Driver's License Number/State: ___________________________________________________________ Other Identifying Information: ___________________________________________________________ Vehicle Make: ___________ Model: __________ Color: _________ Year: ________________________ License Plate Number/State: _____________________________________________________________ Additional Occupants List everyone, including children, who will live with you. Full Name Relationship to Applicant _____________________
____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Rental History Current Address: ______________________________________________________________________ Dates Lived at Address: ________________ Reason for Leaving: ________________________________ Landlord/Manager: ________________ Landlord/Manager's Phone: _____________________________
Previous Address: _____________________________________________________________________ Dates Lived at Address: ________________ Reason for Leaving: ________________________________ Landlord/Manager: ________________ Landlord/Manager's Phone: _____________________________
Previous Address: _____________________________________________________________________ Dates Lived at Address: ________________ Reason for Leaving: ________________________________ Landlord/Manager: ________________ Landlord/Manager's Phone: _____________________________ Employment History Name and Address of Current Employer: ___________________________________________________
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______________________________________ Phone: ________________________________________ Name of Supervisor: ______________________ Supervisor's Phone: _____________________________ Dates Employed at This Job: ___________ Position or Title: ___________________________________
Name and Address of Previous Employer: __________________________________________________ ______________________________________ Phone: ________________________________________ Name of Supervisor: ______________________ Supervisor's Phone: _____________________________ Dates Employed at This Job: ___________ Position or Title: ___________________________________ Income 1. Your gross monthly employment income (before deductions): 2. Average monthly amounts of other income (specify sources): $ ___________________ $ ___________________
TOTAL:
$ ___________________ Must submit 2 month’s of copies of your pay stubs with this application as proof of income
Credit and Financial Information Bank/Financial Accounts Savings Account: Checking Account: Money Market or Similar Account:
Credit Accounts Loans Type of Account (Auto loan, Visa, etc.) Account Number Name of Creditor Amount Owed Monthly Payment _
Account Number
Bank/Institution _____ Branch
Major Credit Card: _____________________________________________________________________ Major Credit Card: _____________________________________________________________________ Loan (mortgage, car, student loan, etc.): ______________________________________________________________________ Other Major Obligation: _________________________________________________________________ ____________________________________________________________________________________ Miscellaneous Describe the number and type of pets you want to have in the rental property: ____________________________________________________________________________________ Describe water-filled furniture you want to have in the rental property:
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____________________________________________________________________________________ Do you smoke? ___ yes ___ no Have you ever: Filed for bankruptcy? Been evicted? ___ yes ___ no ___ yes ___ no Been sued? Been convicted of a crime? ___ yes ___ no ___ yes ___ no
Explain any "yes" listed above. ___________________________________________________________ ____________________________________________________________________________________ References and Emergency Contact Personal Reference: ______________________________ ___________________________ Relationship: Address: ______________________________________ ________________________________ Phone:
Personal Reference: ______________________________ ___________________________ Relationship: Address: ______________________________________ ________________________________ Phone:
Contact in Emergency: ____________________________ ___________________________ Relationship: Address: ______________________________________ ________________________________ Phone:
I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, current and previous landlords and employers, and personal references. This permission will survive the expiration of my tenancy. Date Applicant _____________________________________________________________
Notes (Landlord/Manager): ______________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________
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Consent to Background and Reference Check
I authorize Shean and Glynnis Thorpe to obtain information about me from my credit sources, current and previous landlords and employers, and personal references, to enable Shean and Glynnis Thorpe to evaluate my rental application. I authorize my credit sources, credit bureaus, current and previous landlords and employers, and personal references to disclose to Shean and Glynnis Thorpe information about me that is relevant to Shean and Glynnis Thorpe's decisions regarding my application and tenancy. This permission will survive the expiration of my tenancy, when accessed for a legitimate business purpose related to my tenancy.
_____________ __________________________________________________________ Name _____________ ___________________________________________________________ Address _____________ ___________________________________________________________ Phone Number _____________ ___________________________________________________________ Date _____________ ___________________________________________________________ Applicant
Consent to Background and Reference Check — Page 1