Rental Application First Name Middle Name Last Name Birth Date Social Security Number Driver’s License # Any Other Names You’ve Used In The Past About You Desired Contract Length (Refer back to listing description) 3 Years 2 Years 1 Year Home Phone Cell Phone Email Address Other Proposed Occupants #1 Birth Date #1 Relationship To Applicant #1 Other Proposed Occupants #2 Birth Date #2 Relationship To Applicant #2 Other Proposed Occupants #3 Birth Date #3 Relationship To Applicant #3 Other Proposed Occupants #4 Birth Date #4 Relationship To Applicant #4 Other Proposed Occupants #5 Birth Date #5 Relationship To Applicant #5 Do you plan to have pets? Yes No If yes, How many pets do you plan to have? 1 2 3 4 5 6 7 8 9 10 What kind of pets? Current Street Address Current City Current State & Zip Code Last Rent Amount Paid Owner/Manager Owner/Manager Phone # Reason for leaving Is/Was rent paid in full? Yes No Did you give notice? Yes No Were you asked to move? Yes No Name(s) in which your utilities are now billed Resident From Resident To Previous Street Address Previous City Previous State & Zip Code Last Rent Amount Paid Owner/Manager Owner/Manager Phone # Reason for leaving Is/Was rent paid in full? Yes No Did you give notice? Yes No Were you asked to move? Yes No Name(s) in which your utilities are now billed Resident From Resident To Prior Street Address Prior City Prior State & Zip Code Last Rent Amount Paid Owner/Manager Owner/Manager Phone # Reason for leaving Is/Was rent paid in full? Yes No Did you give notice? Yes No Were you asked to move? Yes No Name(s) in which your utilities are now billed Resident From Resident To Employed By Address Employer’s Phone Occupation Name of Supervisor Monthly Gross Pay Employed From Employed To Income Verification (2 Months Pay Stubs and/or Bank Statements) Credit Report Background Check Bank Saving Account Balance Bank Checking Account Balance Credit Card Balance(s) Auto Loan Balance(s) Make Model Color Year License Plate Make Model Color Year License Plate Make Model Color Year License Plate Make Model Color Year License Plate Name Street Address City State & Zip Phone Number Email Address Have you ever been served a late rent notice? Yes No Do any of the people who would be living in the home smoke? Yes No How long do you think you would be renting from us? Have you ever filed for bankruptcy? Yes No If so, when? When would you be able to move in? Have you ever been convicted of a felony? Yes No Have you ever been served an eviction notice? Yes No If so, When? Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain: Why are you moving from your current address? List any verifiable sources and amounts of income you wish to have considered (optional): If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person’s name, address, & phone # so that we can use them as a reference for you. Have you been a party to a lawsuit in the past? Yes No If yes, please explain why How did you hear about this home? Signature Date Send
