Residential Rental Application

Complete all information below. All applicants over the age of 18 must complete and sign their own application.

First Name _________________ Last Name _________________
Home Phone # _________________ Cell Phone # _________________
Social Security # ________________ Date of Birth ____________
Drivers License # ________________ State ________ Exp.________

Current Address _____________________________________________
City _________________ State _______________ Zip ____________
Current Landlords Name ______________ Home Phone # ______________
Cell Phone # ________________ How long at this address __________
Reason for leaving ______________________________________________

Previous Address _____________________________________________
City _________________ State _______________ Zip ____________
Previous Landlords Name ______________ Home Phone # _____________
Cell Phone # ________________ How long at this address __________
Reason for leaving ______________________________________________

Employer _______________________ Position ____________________
Employers Address ____________________________________________
City ___________________ State ________ Phone # ______________
Monthly Income $______________ How long at job _________
Other income/source___________________________________________

References
Name _____________ Relationship __________ Phone # ____________
Name _____________ Relationship __________ Phone # ____________
Name _____________ Relationship __________ Phone # ____________

Automobile Year ______ Make _________________
Model ________________ State/License Plate # __________________

Total number of adults ___________
Total number of children under the age of 18 _____________
Names and relations of all other applicants
_______________________________________________________________

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening. I understand that the landlord may terminate any lease agreement entered into for any misrepresentations made above.

______________________________
Applicant's Signature

________________
Date

Please be aware that these sample letters and forms may have legal and financial implications. Please consult with your own legal advisor if you have any questions or concerns regarding the use of any of these letters and forms.