RESIDENTIAL RENTAL APPLICATION
The Rental Application Form is designed specifially for residential real estate to gather propective rentor’s information. Can be downloaded and used many times with any word processor program.
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RESIDENTIAL RENTAL APPLICATION
Landlord: Stuart E. Kushner, Phone 240-988-3169, Fax 240-363-0237 Address of Rental Property: 1001 V Street, NW, Washington, DC 20001 Desired date of occupancy: Desired length of occupancy:
APPLICANT INFORMATION Name: Social Security No.: -
-
Date of Birth Driver's License No:
RENTAL HISTORY Present Address How long at present address Current rent payment: Landlord's Name: Prior Address How long at prior address Current rent payment: Landlord's Name:
Home Phone No.: ( Reason for moving Phone No.:
)
Reason for moving Phone No.: ( )
SPOUSE INFORMATION (if applicable) Name of Spouse: Social Security No.: -
Date of Birth Driver's License No:
NAMES OF OTHER TENANTS, INCLUDING CHILDREN AND ANYONE WHO WILL LIVE WITH YOU (EVEN ON A TEMPORARY BASIS)
No. of occupants: Adults: Name Present Address How long at present address: Occupation: Name Present Address How long at present address: Occupation: Name Present Address How long at present address: Occupation:
Children: Adult: Child's Age: Home Phone No.: ( ) Relationship: School: Adult: Child's Age: Home Phone No.: ( ) Relationship: School: Adult: Child's Age: Home Phone No.: ( ) Relationship: School:
IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.
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VEHICLES Vehicle Model: License No.: PETS Name Type/Breed: Size: Yes
Year: No
Vehicle Model: License No.:
Year:
Name Type/Breed: Size:
MISCELLANEOUS Water bed: Yes Do you own real estate? Yes If yes, please explain where:
No No
Smokers:
Yes
No
Have you ever been evicted from any rental premises? Yes If yes, please explain:
No
Have you ever willfully and intentionally refused to pay rent when due? Yes No If yes, please explain: Have you ever been convicted of a felony? Yes If yes, please explain: No
CURRENT EMPLOYER: Employer: Position Supervisor Other Income sources: Gov't assistance $ SPOUSE’S CURRENT EMPLOYER: Employer: Position Supervisor Other Income sources: Gov