RENTAL APPLICATION TEMPLATE
APPLICANT NAME
DATE APP REC'D
DATE OF BIRTH
TIME APP REC'D
SSN
APP REC'D BY
PHONE 1
CREDIT CHECK FEE
PHONE 2
RENTAL TERM
EMAIL
RENT AMOUNT
DL / STATE ID NO.
SECURITY DEPOSIT
LICENSE PLATE NO.
VEHICLE MAKE
VEHICLE MODEL
VEH. YEAR & COLOR
CURRENT ADDRESS
REASON FOR MOVE
DATES OCCUPIED
MONTHLY RENT RATE
LANDLORD NAME
LANDLORD PHONE
PREVIOUS ADDRESS
REASON FOR MOVE
DATES OCCUPIED
MONTHLY RENT RATE
LANDLORD NAME
PREVIOUS ADDRESS
REASON FOR MOVE
DATES OCCUPIED
MONTHLY RENT RATE
LANDLORD NAME
LANDLORD EMAIL
PROPERTY MGMT CO
LANDLORD PHONE
LANDLORD EMAIL
PROPERTY MGMT CO
AMOUNT OF SEC. DEP.
PROPERTY MGMT CO
LANDLORD EMAIL
LANDLORD PHONE
APPLICANT ADDRESS HISTORY
VACATE NOTICE GIVEN?
RELATIONSHIP TO YOU
LANDLORD TO COMPLETE
APPLICANT INFORMATION
RENTAL PROPERTY
ADDRESS
ADDITIONAL OCCUPANTS List all persons occupying home
FULL NAME
NAME & ADDRESS
SUPERVISOR NAME
SUPERVISOR PHONE
SUPERVISOR EMAIL
NAME & ADDRESS
SUPERVISOR NAME
SUPERVISOR PHONE
SUPERVISOR EMAIL
OTHER INCOME SRC
OTHER INCOME SRC
REFERENCE NAME
PHONE
REFERENCE NAME
PHONE
PET 1 BREED
PET 2 BREED
PET RELATED
ADDITIONAL
COMMENTS
PRINTED NAME
SIGNATURE
TENANT DISCLOSURE AND RELEASE AUTHORIZATION
I have read, agree and affirm that all of my statements and information provided in this application are true and complete. I acknowledge that false,
undisclosed, incomplete or misleading information herein may constitute grounds for rejection of this application, termination of right of occupancy of all
residents and occupants under a lease and/or forfeiture of deposits and fees, and may constitute a criminal offense.
I understand that this application is preliminary only and does not bind you to execute a Lease or to deliver possession of the premises to me. I authorize
you to contact any references listed above and to obtain consumer reports, which may include credit, rental payment and/or eviction history and
criminal background information about me and in order to verify the above information. I understand that as my prospective landlord, any co-
applicants, occupants, or guarantors that may be added to this application may need to consent to and successfully pass consumer background
screening reports.
By agreeing, I authorize you to obtain subsequent consumer reports, including credit reports, to ensure that I continue to satisfy the terms of my tenancy,
for the collection and recovery of any financial obligations relating to my tenancy, or for any other permissible purpose. Further, if I have included
information on co-applicants, other adult household members, and/or guarantors on this application, I affirm that those individuals have knowledge of
their inclusion on this application and expressly authorize you to obtain subsequent consumer reports, including credit reports. I understand that you may
report all positive and negative rental payment history to consumer reporting agencies who track this information for landlords, mortgage companies
and other creditors. I and all occupants or guarantors hereby release from all liability or responsibility all persons and corporations requesting or supplying
such information.
RELATIONSHIP
EMAIL
PETS
PET 1 WEIGHT
PET 2 WEIGHT
DATE
RELATIONSHIP
EMAIL
APPLICANT REFERENCES
AMOUNT REC'D MONTHLY
Employed applications please attach two most previous paystubs. Self-employed applicants please attach two past tax returns.
DATES OF EMPLOYMENT
SALARY / WAGE
AMOUNT REC'D MONTHLY
DATES OF EMPLOYMENT
SALARY / WAGE
POSITION HELD
EMPLOYMENT / INCOME HISTORY
POSITION HELD
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