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(TAR-2003) 1-1-14 Page 2 of 4
Residential Lease Application concerning
Describe other income Applicant wants considered:
List all vehicles to be parked on the Property:
Type Year Make Model License/State
If yes, list all pets to be kept on the Property:
Type & Breed Name Color Weight Age in Yrs. Gender Neutered?
yes no
yes no
Declawed?
yes no
yes no
Shots Current?
yes no
yes no
Rabies
Will any waterbeds or water-filled furniture be on the Property?
Does anyone who will occupy the Property smoke?
Will Applicant maintain renter’s insurance?
Is Applicant or Applicant's spouse, even if separated, in military?
If yes, is the military person serving under orders limiting the military person's stay to one
Has Applicant ever:
been evicted?
been asked to move out by a landlord?
breached a lease or rental agreement?
filed for bankruptcy?
lost property in a foreclosure?
had any credit problems (including any outstanding debt (e.g., student loans or medical
been convicted of a crime?
Is any occupant a registered sex offender?
Are there any criminal matters pending against any occupant?
Is there additional information Applicant wants considered?
Yes No
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Mo.Pymnt.
year or less?
Applicant’s Previous Employer:
Address:
(street, city, state, zip)
Phone:Supervisor’s Name: Fax:
E-mail:
Employed from to Gross Monthly Income: $ Position:
bills)), slow-pays or delinquencies?
yes no yes no
yes no
yes no yes no yes no
Will any pets (dogs, cats, birds, reptiles, fish, and other pets) be kept on the Property?
yes no
Applicant’s Current Employer:
Address:
(street, city, state, zip)
Supervisor’s Name: Phone: Fax:
E-mail:
Start Date: Gross Monthly Income: $ Position:
Note: If Applicant is self-employed, Landlord may require one or more previous year’s tax return attested by a CPA,
attorney, or other tax professional.
Date Moved-In Date Moved-Out Rent $
Reason for move:
Guarantor Form