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