Rental App

Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.

Personal Information

First Name

Middle

Last Name

Social Security Number

Date of Birth

Marital Status

Drivers License Number

State issued

Home Phone Number

Cell Number

Work Number

Email Address

Present Address

City

State

Zip code

Length of Time

Present Landlord

Landlord Phone

Reason for Leaving

Amount of Rent

Is your present rent up to date?

Previous Address

City

State

zip code

Length of Time

Previous landlord

landlord phone

reason for leaving

amount of rent

was your rent up to date?

next previous address

city

state

zip code

length of time

next previous landlord

landlord phone

reason for leaving

amount of rent

was your rent up to date?

Proposed Occupant(s)

Name

relationship

occupation

age

name

relationship

occupation

age

name

relationship

occupation

age

name

relationship

occupation

age

name

relationship

occupation

age

Proposed Pet(s)

Name

Type/Breed

Select one

age

Name

Type/Breed

Select one

age

Name

Type/Breed

Select one

age

Vehicle(s) Information

year

make

model

color

plate #

state

year

make

model

color

plate #

state

Employment

current employer

occupation

hours/week

supervisor

phone

extension

years employed

address

city

state

zip code

previous employer

occupation

hours/week

supervisor

phone

extension

years employed

address

city

state

zip code

Income

Current Income

Source

Proof of Income

Current Income

Source

Proof of Income

Current Income

Source

Proof of Income

Credit Card / Financial Information

Car Loan Lien Holder

Balance Owed

Monthly Payment

Creditor's Phone Number

Credit Card Company

Balance Owed

Monthly Payment

Creditor's Phone Number

Credit Card Company

Balance Owed

Monthly Payment

Creditor's Phone Number

Credit Card Company

Balance Owed

Monthly Payment

Creditor's Phone Number

Child Support / Other Credit Owed

Balance Owed

Monthly Payment

Creditor's Phone Number

Bank Account / Name of Bank

Balance

Monthly Payment

Account Number

Emergency / Personal Reference Information

Emergency Contact

Phone Number

Relation

Address

City / State / Zip

Emergency Contact

Phone Number

Relation

Address

City / State / Zip

Personal Reference

Phone Number

Relation

Address

City / State / Zip

Personal Reference

Phone Number

Relation

Address

City / State / Zip

Applicant Questionnaire / Authorization

Has applicant ever been sued for bills?

Has applicant ever been locked out of their apartment by the sheriff?

Has applicant ever been bankrupt?

Has applicant ever been brought to court by another landlord?

Has applicant ever been guilty of a felony?

Has applicant ever moved owing rent or damaged an apartment?

Has applicant ever broken a Lease?

Is the total move-in amount available now (rent and deposit)?

Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not as represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

Applicant signature (type name)

Date

If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.

NOTES

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