Rental Application

First name

Last name

Birthday

Month

Day

Year

Phone

All other occupants (under 18), Birth Date, Relationship to Applicant

Rental History

Current Residence

Address

Monthly Rent

Start Date of Residency

Month

Day

Year

End Date of Residency

Month

Day

Year

Reason for Moving

Owner/Manager

Phone

Previous Residence

Address

Monthly Rent

Start Date of Residency

Month

Day

Year

End Date if Residency

Month

Day

Year

Reason for Moving

Owner/Manager

Phone Number

Employment History

Current Employer

Employer

Occupation

Employer Address

Employer Phone

Start Date

Month

Day

Year

Name of Supervisor

Monthly Pay

Previous Employer

Employer

Occupation

EmployerAddress

Employer Phone

Start Date

Month

Day

Year

End Date

Month

Day

Year

Name of Supervisor

Monthly Pay

References

Reference #1

Name

Phone

Relationship

Reference #2

Name

Phone

Relationship

General Information

Have you ever been late or delinquent on rent?

Yes

Have you ever been party to a lawsuit?

Yes

Do you smoke?

Yes

Do you have any pets?

Yes

If yes to any of the above, please explain why.

Why are you moving from your current address?

Is there anything negative in your credit or background check you want to comment on?

Additional questions:

Agreement & Authorization

By signing this application, I verify that the statements in this application are true and correct. I authorize the use of the information and contacts provided to complete a credit, reference, and/or background check. I understand that false or lack of information may result in the rejection of this application.

Signature

Signature field is empty.

Date

Month

Day

Year