Residential Rental Application

Applicant Name

Co-Applicant Name

Other Names Previously Used (including maiden)

Best Phone Number

Desired Lease Start Date

Section 2. Applicant Information

Processing Fee: The Application and Credit Check Processing Fee is $39.95 PER APPLICANT. Employment, personal references, credit records, public records, current and previous property landlords' references and criminal records may be checked. This Processing Fee is NOT REFUNDABLE.

First Name

Middle Name

Last Name

Social Security #

Date of Birth

Best Phone #

Cell #

Email

Emergency Contact

Name

Phone

Relationship

Previous Address Information

Address

City

State

Zip

Was Landlord related to you?

Yes No

Present Address Information

Address

City

State

Zip

Is present Landlord related to you?

Yes No

How Long have you lived at this address?

Rent/Mortgage Payment

Present Landlord/Mortgage Co.

Reason for Leaving

Employment History

Current Employer

Position

City

State

Previous Employer

How Long

Gross Monthly Income

Supervisor

Supervisor Phone #

Other Income

Been sued for nonpayment of rent?

Yes No

Been sued for damage to rental property?

Yes No

Section 3. Co-Applicant Information

First Name

Middle Name

Last Name

Social Security #

Date of Birth

Best Phone #

Cell #

Email

Emergency Contact

Name

Phone

Relationship

Present Address

Is present Landlord related to you?

Yes No

Address

Zip

Previous Address

Was Landlord related to you?

Yes No

Employment History

Current Employer

Position

Address

City

State

Zip

How Long

Gross Monthly Income

Supervisor

Supervisor Phone #

Been convicted of a felony/misdemeanor?

Yes No

Been sued for nonpayment of rent?

Yes No

Been sued for damage to rental property?

Yes No

Section 4. Other Information - Occupants

List name, ages, and relationship of occupants other than Applicant(s):

Full Name

Relationship

Birthdate

Social Security Number

General Information

Will any smokers, including vaping, occupy the property?

Yes No

Do you currently carry renter's insurance?

Yes No

Do you currently have a pet?

Yes No

References

MUST HAVE TWO WITH ACCURATE CONTACT INFORMATION

Reference 1

Name

Relationship

Phone Number

Years Acquainted

Reference 2

Name

Relationship

Years Acquainted

Section 5. Acknowledgement, Agreement and Authorization

Applicant(s) represents that all of the above statements are true and complete and authorizes verification of all of the above information by all means available, including employment, personal references, credit records, public records, current and previous property owners and criminal records by the Owner and/or Property Manager.

NOTICE: The above Property is offered for lease without regard to sex, race, religion, color, handicap, familial status, age or national origin.

RESIDENTIAL RENTAL APPLICATION

Section 2. Applicant Information

Emergency Contact

Previous Address Information

Present Address Information

Employment History

Section 3. Co-Applicant Information

Emergency Contact

Present Address

Previous Address

Employment History

Section 4. Other Information - Occupants

General Information

References

Reference 1

Reference 2

Section 5. Acknowledgement, Agreement and Authorization