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Sample Rental Lease Application







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Rental Lease Application Template

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Rental Lease Application


Name: ________________________________________________________________

Date of Birth: ____/____/______ Social Security Number: _______________________

Driver’s License Number: ______________________Phone Number: _____________

Cell Phone Number: __________________________ Email: _____________________

Additional Occupants:

Name: _____________________DOB: ____/____/______ Relationship: _____

Name: _____________________DOB: ____/____/______ Relationship: _____

Name: _____________________DOB: ____/____/______ Relationship: _____

Name: _____________________DOB: ____/____/______ Relationship: _____

Name: _____________________DOB: ____/____/______ Relationship: _____

Rental / Residence History:

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Owner / Manager: ___________________________Phone Number: __________

Reason for Leaving: ________________________________________________

Was rent always paid on time? Yes [__] No [__]

Did you give proper notice when leaving? Yes [__] No [__]

Were you asked to move? Yes [__] No [__]

Dates of Residence: ____/____/______ - ____/____/______

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Owner / Manager: ___________________________Phone Number: __________

Reason for Leaving: ________________________________________________

Was rent always paid on time? Yes [__] No [__]

Did you give proper notice when leaving? Yes [__] No [__]

Were you asked to move? Yes [__] No [__]

Dates of Residence: ____/____/______ - ____/____/______

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Owner / Manager: ___________________________Phone Number: __________

Reason for Leaving: ________________________________________________

Was rent always paid on time? Yes [__] No [__]

Did you give proper notice when leaving? Yes [__] No [__]

Were you asked to move? Yes [__] No [__]

Dates of Residence: ____/____/______ - ____/____/______

Employment History:

Employed By: _______________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Occupation: ___________________________Employer’s Number: __________

Name of Supervisor: ___________________Monthly Gross Pay: __________

Dates of Employment: ____/____/______ - ____/____/______

Employed By: _______________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Occupation: ___________________________Employer’s Number: __________

Name of Supervisor: ___________________Monthly Gross Pay: __________

Dates of Employment: ____/____/______ - ____/____/______

Employed By: _______________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Occupation: ___________________________Employer’s Number: __________

Name of Supervisor: ________________Monthly Gross Pay: _____________

Dates of Employment: ____/____/______ - ____/____/______

Credit History:

Savings Account:

Bank Name: ___________________________ Balance On Deposit: _________

Checking Account:

Bank Name: ___________________________ Balance On Deposit: _________

Credit Card:

Name: ________________________________ Amount Owed: ________________

Auto Loan:

Lending Institution Name: ____________ Amount Owed: ________________

Vehicles:

Please include all vehicles belonging to other occupants.

Make: ____________________ Model: ___________________ Color: ___________________

Year: _____________ License Plate: ______________________

Make: ____________________ Model: ___________________ Color: ___________________

Year: _____________ License Plate: ______________________

Make: ____________________ Model: ___________________ Color: ___________________

Year: _____________ License Plate: ______________________

References and Emergency Contact Information:

Doctor:

Name: ______________________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Phone Number: _______________________

Lawyer:

Name: ______________________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Phone Number: _______________________

Nearest Relative Living Elsewhere:

Name: ______________________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Phone Number: _______________________

General Information:

Have you ever been served a late rent notice? Yes [__] No [__]

Approximately how long do you think you will be renting from us? ________________________

Have you ever filed for bankruptcy? Yes [__] No [__] If Yes, when? ____/____/______

When are you are you planning to move in? ____/____/______

Have you ever been convicted of a felony? Yes [__] No [__]

Have you ever been served an eviction notice? Yes [__] No [__] If Yes, when? ____/____/_____

How many pets do you have? _________________________________________

Have you had any reoccurring problems with your current apartment or landlord?

Yes [__] No [__]

If yes, please explain: _______________________________________________

____________________________________________________________________

____________________________________________________________________

Why are you moving from your current location? ________________________

____________________________________________________________________

____________________________________________________________________

Please list any verifiable sources and amounts of income that you would like to be used for lease approval consideration (Optional):

_____________________________________________________________________

_____________________________________________________________________

Do you know someone that would loan you money for rent if you were in financial trouble?

Yes [__] No [__]

If yes, submit the following for reference:

Name: ______________________________________________________________

Address: ___________________________________________________________

City: ________________________________State: ________ Zip: _________

Phone Number: _______________________

Have you ever been involved with a lawsuit?

Yes [__] No [__]

If yes, please explain: ____________________________________________

____________________________________________________________________

We may run a criminal background and credit check. Is there anything negative that we will find that you would like to comment on?

____________________________________________________________________

____________________________________________________________________

____________________________________________________________________

How did you hear about this apartment?

____________________________________________________________________



Agreement and Authorization


I do hereby attest that the statements that I presented above are true and verifiable. I give authorization for a credit and / or criminal background check and to verify all additional information on this Lease Application. I understand that any false information given may result in the rejection of this Agreement. I also understand that there is a non-refundable application fee of $20 to cover the cost of processing my application and that I am not entitled to a refund if my application is rejected for any reason.





____________________________________________________________________
Applicant Signature










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