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Rental Application

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Rental Application

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									                                Rental Application
            Separate application required from each applicant age 18 or older.

Date and time received by landlord _____________________________________

Credit check fee _____________________ Received ________________________

                                            This section to be completed by landlord

   Address of property to be rented: _______________________________

   Rental Term: [ ] month-to-month [ ] lease from ____________ to ____________

   Amounts Due Prior to Occupancy

      First month's rent                                          $_______________

      Security deposit                                            $_______________

      Credit check fee                                            $_______________

      Other (specify):                                            $_______________

                                                    TOTAL         $_______________

Applicant

   Full Name—include all names you use(d): _________________________________
   Home phone: __________________          Work phone: ________________________

   Email: ________________________ 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

First-time renters: attach a description of your housing situation for the past five years.

   Current address: _____________________________________________________
                       _____________________________________________________

   Dates lived at address: ________________ Reason for leaving: ________________

   Landlord/manager: ___________________ Landlord/manager's phone: __________

   Rent: $_________________________                Security deposit: __________________

   Previous Address: _____________________________________________________
                       _____________________________________________________

   Dates lived at address: ________________ Reason for leaving: ________________

   Landlord/manager: ___________________ Landlord/manager's phone: __________

   Rent: $_________________________                Security deposit: __________________

   Previous Address: _____________________________________________________
                       _____________________________________________________

   Dates lived at address: ________________ Reason for leaving: ________________

   Landlord/manager: ___________________ Landlord/manager's phone: __________

   Rent: $_________________________                Security deposit: __________________

Employment History

Self-employed applicants: attach tax returns for the past two years

   Name and Address of Current Employer: __________________________________
                                               __________________________________
   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: ________________

   Attach pay stubs for the past two years, from this employer or prior employers.

Income

   1. Your gross monthly employment income (before deductions):           $__________

   2. Average monthly amounts of other income (specify sources):          $__________

   _____________________________________________________________________

   _____________________________________________________________________

                                                           TOTAL:         $__________

Bank/Financial Accounts

                          Account Number         Bank/Institution            Branch

Savings Account:        ________________       ________________       ________________

Checking Account:       ________________       ________________       ________________

Money Market or         ________________       ________________       ________________
Similar Account:

Credit Card Accounts
Major Credit Card: [ ] VISA [ ] MC          [ ] Discover Card    [ ] Am Ex
                    [ ] Other: ____________________

Issuer: ________________________            Account No.: ________________________
Balance: $_________________        Average Monthly Payment: $____________________

Major Credit Card: [ ] VISA [ ] MC           [ ] Discover Card     [ ] Am Ex
                      [ ] Other: ____________________

Issuer: ________________________             Account No.: ________________________

Balance: $_________________        Average Monthly Payment: $____________________

Loans
Type of Loan
(mortgage, car,       Name of          Account                                Monthly
student loan, etc.)   Creditor         Number            Amount Owed          Payment

____________          ____________     ____________      $___________         $____________

____________          ____________     ____________      $___________         $____________

____________          ____________     ____________      $___________         $____________

Other Major Obligations

Type                     Payee                 Amount Owed            Monthly Payment

________________         ________________      $_______________       $________________

________________         ________________      $_______________       $________________

________________         ________________      $_______________       $________________

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:
   _____________________________________________________________________

   Do you smoke? [ ] yes     [ ] no

   Have you ever: Filed for bankruptcy? [ ] yes [ ] no           How many times _____

                      Been sued?            [ ] yes [ ] no       How many times _____
                     Sued someone else?      [ ] yes [ ] no       How many times _____

                     Been evicted?           [ ] yes [ ] no       How many times _____

                     Been convicted of a     [ ] yes [ ] no       How many times _____
                     crime?
   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: ____________________________

Source

   Where did you learn of this vacancy?
   _____________________________________________________________________

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, current and previous landlords and
employers, and personal references. I give permission for the landlord or its agent to
obtain a consumer report about me for the purpose of this application, to ensure that I
continue to meet the terms of the tenancy, for the collection and recovery of any financial
obligations relating to my tenancy, or for any other permissible purpose.



__________________        ________________________________________________
Date                      Applicant

Notes (Landlord/Manager):

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

								
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