STANDARD RENTAL APPLICATION

(Application Charge: $35.00 Non-Refundable. Equal Housing Opportunity)

IMPORTANT NOTE: Please take a few moments to complete the following rental
application for the property located at:
____________________________________________________________________________________
The information you provide will help us review your application and we expect all
questions to be answered honestly. Although your credit may be taken into
account the most important thing is that your application is answered honestly. If
any of the information found on this document is determined to be intentionally
falsified your application will be immediately disqualified from consideration.
Please Tell Us About Yourself
Full Name______________________________________ Phone (
______________________

DOB____________________________ Social Security

#___________________________________
Email Address _________________________________ Cell Phone (
__________________

Drivers License # __________________________________ State Of Issue

__________________
Vehicle Information (Make/Model, Year, & License Plate #)
____________________________________________________________________________________
Co-Applicant _________________________________ Phone (
______________________

Co-Applicant DOB_________________________ Social Security

#_______________________
Drivers License # __________________________________ State Of Issue
__________________
Vehicle Information (Make/Model, Year, & License Plate #)
____________________________________________________________________________________
# Of Dependents __________ Name Of Dependents
__________________________________
____________________________________________________________________________________
1

List All Pets:

____________________________________________________________________________________

Please Give Residential Rental History (Past 2 Years, List Most Recent First)
Current
Address____________________________________________________________________
City_______________________________________ State________________
Zip________________
Month & Year Moved In________________________ Monthly Rent
$______________________
Reasons For
Leaving________________________________________________________________
Current Landlords Name __________________________________________________________
Phone (

) _____________________________

Previous
Address___________________________________________________________________
City_______________________________________ State________________
Zip________________
Month & Year Moved In________________________ Monthly Rent
$______________________
Reasons For
Leaving________________________________________________________________
Current Landlords Name __________________________________________________________
Phone (

) _____________________________

Please Give Us Your Employment Information

Main Applicants Status:
Unemployed

Full Time

Part Time

Student

Current Employer/School___________________________________________________________
Hire Date_______________________________ Job Title__________________________________
2

Supervisor Name_________________________________ Phone (

_____________________

Salary $_________________per________________
If Employed Less Than 12 Months Please Give Name & Phone Of Previous
Employer:
____________________________________________________________________________________
Co-Applicants Status:
Unemployed

Full Time

Part Time

Student

Current Employer/School___________________________________________________________
Hire Date_______________________________ Job Title__________________________________
Supervisor Name_________________________________ Phone (
_____________________

Salary $_________________per________________
If Employed Less Than 12 Months Please Give Name & Phone Of Previous
Employer:
____________________________________________________________________________________
Any Other Sources Of Income You Wish To Disclose
_________________________________

Please List Your References

Reference #1 (Personal Non-Relative)
Name ___________________________________________ Phone (
_____________________

Reference #2 (Credit Reference)

Name ___________________________________________ Phone (
_____________________

Reference #3 (Credit Reference)

Name ___________________________________________ Phone (
_____________________
3

Please circle either YES or NO for each of the following 8 questions.

Additionally, if you answer YES to any of the following questions, please provide
a written explanation on the other side of this page.
1.
2.
3.
4.
5.
6.
7.
8.

Have you ever been convicted of a crime?

YES / NO
Have you ever spent any time in prison/jail for any reason?
YES / NO
Have you filed for personal bankruptcy within the last 7 years?
YES / NO
Have you ever been evicted from any place youve lived?
YES / NO
Are you in any way NOT considered to be a full U.S. citizen?YES / NO
Have you been a party to any lawsuits within the last 10 years? YES / NO
Are there any outstanding judgments against you?
YES / NO
Are you obligated to pay any alimony or child support?
YES / NO

I hereby apply to lease the above described premises for the term and upon the
set conditions above set forth and agree that the rental is to be payable the first
day of each month in advance. As an inducement to the owner of the property and
to the agent to accept this application, I warrant that all statements above set
forth are true; however, should any statement made above be a
misrepresentation or not a true statement of facts, all of the deposit will be
retained to offset the owners cost, time, and effort in processing my application. I
recognize that as a part of your procedure for processing my application, an
investigative consumer report may be prepared whereby information is obtained
through personal interviews with others with whom I may be acquainted. This
inquiry includes information as to my character, general reputation, personal
characteristics and mode of living.
The above information is true and correct.
Please
___________

sign

X___________________________________________________

Name of Applicant
Please
___________

sign

Date

X___________________________________________________

Name of Co-Applicant

Date

Authorization To Release Information

I agree to permit an investigation of my credit, tenant history, banking and
employment for the purposes of renting the above mentioned property.
________________________________________
Name (please print)

________________________________________
Name (please print)

X_______________________________________

X_______________________________________
4

Signature

Signature

APPLICANT: PLEASE DO NOT WRITE BELOW (Office Use Only)

____________________________________________________________________________________________________
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____________________________________________________________________________________________________
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