Take applications from prospective tenants for a rental vacancy with this Mississippi Rental Application Form for Residential Tenancy.
Applicants must supply information about:
- their employment history,
- what they currently pay in monthly expenses,
- names and addresses of previous and current landlords,
- personal and credit references.
This Mississippi Rental Application Form for Residential Tenancy is a downloadable template for landlords and rental property managers. Great for multi-unit buildings - buy it once, use it as often as you require.
[NAME OF OWNER/PROPERTY MANAGER] [address of owner/property manager] RENTAL APPLICATION FORM This document is not a lease or tenancy agreement and does not grant any right to an Applicant to occupy the Premises. RENTAL PREMISES: Name of Building: ____________________ Suite No. & Street Address: ________________ City: _________________ State: Mississippi Zip Code: __________ Section I. Applicant Information APPLICANT FULL NAME (surname, first name, initial(s)): Address: Work Phone: Home Phone: Mobile / Pager: Email: Date of Birth: Place of Birth: Driver’s License No.: Issuing State: Vehicle Information: Make: Model: Year: License Plate No.: Names and ages of all persons Name: who will occupy the Premises: Age: Relationship: Name: Age: Relationship: Name: Age: Relationship: List any animals which will Type of animal: occupy the Premises: Age: Weight (approximate): Spayed/neutered: Type of animal: Age: Weight (approximate): Spayed/neutered: Type of animal: Age: Weight (approximate): Spayed/neutered: PERSONAL REFERENCES: -2- Name Address Phone No. CURRENT LANDLORD: Name: Address: Phone No.: PARTY THAT RENT IS PAID Name: TO (if different from above): Address: Phone No.: Current Rent: Start Date of Tenancy: Reasons for Leaving: PREVIOUS RENTAL ADDRESSES (List all for the past ___ years – attach list if necessary) Address #1: Previous Landlord: Name: Address: Phone No.: Length of tenancy: Rent: Reasons for Leaving: Address #2: Previous Landlord: Name: Address: Phone No.: Length of tenancy: Rent: Reasons for Leaving: Address #3: Name of Landlord: Length of tenancy: Rent: Reasons for Leaving: CURRENT EMPLOYER: Name: Address: Phone No.: Fax No.: Date Hired: Current Salary: If less than 12 months at current position, supply work information for past year. PREVIOUS EMPLOYER #1: Name: Address: Phone No.: Fax No.: Date Hired: Current Salary: PREVIOUS EMPLOYER #2: Name: -3- Address: Phone No.: Fax No.: Date Hired: Current Salary: EMERGENCY CONTACT Name: (next of kin or equivalent): Address: Phone Nos.: Relationship: -4- FINANCIAL INFORMATION: Name of Bank: Branch Address: Accounts: Type of account: Current Balance: Type of account: Current Balance: Type of account: Current Balance: Current monthly expenses: Rent: $ Utilities: $ Car loan: $ Student loan: $ Line of credit: $ Other loan(s): $ Credit cards: $ Other monthly payments (describe): $ $ Credit cards: Type of card: Current Balance: Type of card: Current Balance: Type of card: Current Balance: If you are in arrears in payment of any of your loans, give details. CREDIT REFERENCES: Name Address Phone No. Have you ever: Filed for bankruptcy? Yes No Been convicted of a crime? Yes No Failed to pay rent when due? Yes No Been evicted? Yes No -5- Section II. Amounts Payable Prior to Occupancy of Premises Security deposit: $ Pet deposit (if applicable): $ Initial rent payment: $ to _________________ (date) Other: $ TOTAL PAYABLE: $ Balance Owing: By cash or bank draft only $ Section III - Conditions Applicable To Rental Application 1. The Applicant(s) will not be entitled to occupancy of the Premises until (a) vacant possession is provided by the current occupant(s) of the Premises, and (b) all amounts shown in Section II of the Rental Application have been paid in full. 2. Each Applicant must be eighteen (18) years of age or older, and must have an acceptable credit rating. 3. The Applicant(s) hereby acknowledge(s) having inspected the Premises and, if the Rental Application is accepted, agree to take possession of the Premises in the same condition as at the date of inspection. 4. The Applicant(s) is/are responsible for all personal property on the Premises, and are advised to arrange for contents insurance and to obtain insurance to cover damage to the Premises from a waterbed or other liquid filled or heavy furniture, if applicable. 5. All acts and things which the Owner is required or authorized to do may be done by the Property Manager. 6. If there is more than one Applicant, the Applicants make this Application jointly and severally. Service of any notice on any one Applicant shall be deemed to be service on all of the Applicants.
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