RENTAL DEPOSIT APPLICATION
Type of payment for deposit
Credit card (last 4 digits):
Check (check #):
Cash:
Check which applies:
Residential/Commercial: $100.00
Industrial: $200.00
NAME OF TENANT(S) ON LEASE:
ADDRESS:
PHONE #: ( ) -
DRIVER’S LICENSE OR STATE ID #:
DATE ISSUED: DATE EXPIRED:
DATE LEASE BEGINS:
LENGTH OF LEASE:
LANDLORD/PROPERTY OWNER INFORMATION
OWNER’S NAME:
MAILING ADDRESS:
PHONE #: ( ) -
FOR OFFICE USE ONLY:
ACCOUNT #:
ENTERED BY: