Print Form TENANT’S PERSONAL AND CREDIT INFORMATION (In the event of co-tenants, other than spouses, use separate sheet for each tenant) Social Security No. Name DOB Drivers License No. Co-Tenant DOB Social Security No. Present Address Drivers License No. City/State/Zip Res. Phone Bus. Phone Occupants Animals? Car Make Year Model Color Lic. No. Occupation Present Occupation Prior Occupation Co-Tenant’s Occupation Occupation Employer Self-employed, d.b.a. Business Address Business Phone Type of Business Position held Name & Title of Superior How long Monthly Gross Income Landlord Information Present Previous Name Phone Number Monthly Rent Date of Occupancy References Bank Reference Address Phone Credit Account No. Address Highest Amount Purpose of Account Open Reference Owed Credit or Date Closed Personal Reference Address Phone Length of Occupation Acquaintance Nearest Relative Address Phone City Relationship Have you ever filed a petition of bankruptcy? _________Have you ever been evicted from any tenancy or had an eviction notice served on you?________ Have you ever willfully and intentionally refused to pay any rent when due?___________ I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AUTHORIZED IT’S VERIFIATION AND THE OBTAINING OF A CREDIT REPORT. I agree that the landlord may terminate any agreement entered into a reliance on any misstatement made above. DATE: ________________________ ______________________________________Applicant_____________________________________Applicant Application may be mailed to 1415 Camelback Lane, B105, Boise, ID 83702; Faxed to 208-389-9132 or email to email@example.com. By submitting this form in any method, you are authorizing the credit check and any other necessary checks needed to verify the information given.