Downloadable Print-Friendly Rental Application
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                                                   RENTAL APPLICATION

                                                           PERSONAL  DATA

Name _____________________________________   Birth Date ___________________________

Telephone No. __________ Cell Phone No. _______________ E-mail Address ______________

Social Security No. _______________ Driver Lic. No. ______________ Exp. Date ____________

Present Address __________________________________________________________________

City/Sate/Zip ____________________________________________________________________

How long at present address _______  Current Rent ________ Rent Paid Through _____________

Current Lease Expires ______ Landlord/Agent________________ Phone ____________________

Previous Address _________________________________________________________________

City/State/Zip ____________________________________________________________________

How Long __________  Landlord/Agent _____________________  Phone ___________________

 Occupants -  Relationships _________________________________________________________                                                       Ages________________________________________________________________

Pets ________________________________________  Ages _______________________________

Car – Make _____________ Year ______ Model _________  Color _______ License No. _______

                                                                   OCCUPATION

Present Occupation _______________________   Employer ________________________________

Type of Business _________________________   Business Phone ___________________________

Position Held __________________ How Long _______ Monthly Gross Income _______________

Prior Occupation _________________________ Employer _________________________________

Type of Business _________________________ Business Phone ____________________________

Position Held __________________ How Long _______  Monthly Gross Income ______________

                                                                 REFERENCES

Bank Reference ________________  Address ___________________ Phone __________________

Types of Accounts Held _____________________________________________________________

Credit Reference ____________________________  Amount Owed _________________________

Credit Reference ____________________________  Amount Owed _________________________

Credit Reference ____________________________  Amount Owed _________________________

Personal Reference ________________  Phone ____________  Relation ______________________

Personal Reference ________________  Phone ____________ Relation _____________________

Nearest Relative ____________________  Phone ___________ Relation _____________________

Nearest Relative ____________________  Phone ___________ Relation _____________________

                                                                   QUESTIONS

Have you ever filed a petition for bankruptcy? _____ Have you ever been evicted from a tenancy? _____

Have you ever been convicted of a felony? ______ Have you ever withheld rent when due? __________

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE

ITS VERIFICATION AND OBTAINING OF CONSUMER CREDIT REPORT. 

Applicant’s Signature ______________________________________ Date ____________________