Rental Lease Application
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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.
______________________ Date_____
Applicant Signature
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