| The undersigned here by makes this application to
lease the premises located at:
_________________________________________________ |
| City:_____________________________ State:
___ Zip: ____________ |
| Beginning on: ____________20____ At a monthly
rate of: $__________ |
| Lease Term: 12 Months__ 6 Months__ Month to
month___ Other______ |
| Do you smoke:Yes/No Pets: Yes/No
How many: ___ Type: __________ |
|
|
Application Information |
| Full Name(First, Middle, Last):
______________________ Phone: ________ |
| Birthday___/ ___/ ___
Social Security# ____/ ___/ ______ |
| Full-Time Student:Yes/No Part-time
Student:Yes/No Not Applicable: ___ |
| |
|
Names of Other Residents to Occupy the Rental Unit |
| 1) ______________________________ Relationship:
________ Age:___ |
| 2) ______________________________ Relationship:
________ Age:___ |
| 3) ______________________________ Relationship:
________ Age:___ |
| 4) ______________________________ Relationship:
________ Age:___ |
| 5) ______________________________ Relationship:
________ Age:___ |
| 6) ______________________________ Relationship:
________ Age:___ |
| 7) ______________________________ Relationship:
________ Age:___ |
| 8) ______________________________ Relationship:
________ Age:___ |
| 9) ______________________________ Relationship:
________ Age:___ |
| |
|
Rental History of Applicant (Also, put if you lived
w/parents or in dorms) |
| Current Address:
_________________________________ Apt. # _____ |
| City:_________________________ State:
_______ Zip: ____________ |
| Present Landlord: ______________________ Their
Phone#: _________ |
| Move in Date: __________________ Move out Date:
_______________ |
| Total Time There:________________ Amount of Rent:
______________ |
| Reason for Moving:
___________________________________________ |
| |
| Previous Address:
________________________________ Apt. # _____ |
| City:_________________________ State:
_______ Zip: ____________ |
| Present Landlord: ______________________ Their
Phone#: _________ |
| Move in Date: __________________ Move out Date:
_______________ |
| Total Time There:________________ Amount of Rent:
______________ |
| Reason for Moving:
___________________________________________ |
| |
|
Banking, Loans or Credit Cards References (Not
Personal References) |
| Bank: _____________________________ Branch:
_________________ |
| Address: _____________________ Automatiaed
Phone#: ___________ |
| City:____________________________ State:
_______ Zip: _________ |
| Checking Acct#: _________________ Savings
Acct#:_______________ |
| |
| Bank: _____________________________ Branch:
_________________ |
| Address: _____________________ Automatiaed
Phone#: ___________ |
| City:____________________________ State:
_______ Zip: _________ |
| Checking Acct#: _________________ Savings
Acct#:_______________ |
| |
| Credit Reference: _______________________ Acct#:
______________ |
| Address: _________________________________ Phone#:
__________ |
| City:____________________________ State:
_______ Zip: _________ |
| |
| Credit Reference: _______________________ Acct#:
______________ |
| Address: _________________________________ Phone#:
__________ |
| City:____________________________ State:
_______ Zip: _________ |
| |
|
Employment Information |
| Employed By:
_____________________________ Phone#: __________ |
| Address: _______________________________
Position: ___________ |
| City:____________________________ State:
_______ Zip: _________ |
| Date of Hire: ______________ Supervisor:
_______________________ |
| Salary/Wages: _______ Full Yes/No
Part Time: Yes/No Other: ______ |
| |
| Previous Employed:
___________________________ Phone#: _______ |
| Address: _______________________________
Position: ___________ |
| City:____________________________ State:
_______ Zip: _________ |
| Date of Hire: ________ Last Day: _________
Supervisor: ___________ |
| Salary/Wages: _______ Full Yes/No
Part Time: Yes/No Other: ______ |
| |
|
Other Information |
| Drivers License#: _______________________
Number of Autos: _____ |
| Make: ___________ Year: ____ Color: __________
Plate#: _________ |
| Make: ___________ Year: ____ Color: __________
Plate#: _________ |
| |
|
Incase of Emergency Please Notify The Following |
| Name:
___________________________________ Phone#: _________ |
| Address: _____________________________
Relationship: __________ |
| City:____________________________ State:
____ Zip: ____________ |
| |
| Name:
___________________________________ Phone#: _________ |
| Address: _____________________________
Relationship: __________ |
| City:____________________________ State:
____ Zip: ____________ |
| |
|
Have You Ever: |
|
Been charged with a misdemeanor or felony:Yes/No If so, what? ____ |
| Filed for
bankruptcy:Yes/No If so, why? _________________________ |
|
Been evicted from tenancy:Yes/No If so, why_____________________ |
| Been continually
late with rent:Yes/No If so, why? ________________ |
|
Refused to pay rent:Yes/No If so, why? _________________________ |
| |
| I warrant that all statements made on this
application are true. If any of the information I have put on this
application is falsified I understand that it is cause to immediately
reject my application. I understand that this application does not
include any oral or written commitments on the part of the owner or
agent. |
| |
| Applicant's
Signature: _______________________ DATE: __________ |
