Rental Credit Application
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Date: ____/____/______
Name:
________________________________
Telephone Number:
________________________________
Cell Phone:
________________________________
Email Address:
________________________________
Social Security Number:
________________________________
Driver's License Number:
________________ State: _________
Current Address:
________________________________
City: __________ State: ___ Zip: ____
Landlord's Name:
________________________________
Phone Number:
________________________________
Previous Street Address:
________________________________
City: __________ State: ___ Zip: ____
Previous Street Address:
________________________________
City: __________ State: ___ Zip: ____
Length of time at your present address: _______
How long did you live at your prior addresses: _______
Number of individuals that will be living in this unit:
Adults: [______]
Children: [______]
Pets: [______] Weight = ____
Employment:
Current Employer:
________________________________
Occupation:
________________________________
Current Annual Salary: _________
How long have you been employed by your current employer? ___________
Supervisor:
________________________________
Phone Number:
________________________________
Spouse Information:
Spouse's Name:
________________________________
Telephone Number:
________________________________
Cell Phone:
________________________________
Email Address:
________________________________
Social Security Number:
________________________________
Driver's License Number:
_______________ State: __________
Current Employer:
________________________________
Occupation:
________________________________
Current Annual Salary:
________________________________
How long have you been employed by your current employer? ___________
Supervisor:
________________________________
Phone Number:
________________________________
Banking Information:
Bank Name:
________________________________
Branch:
________________________________
Telephone Number:
________________________________
Address: _________________________
City: __________ State: ___ Zip: ____
Checking Account Number:
________________________________
Savings Account Number:
________________________________
Personal References:
Name:
________________________________
Relationship:
________________________________
Telephone Number:
________________________________
Name:
________________________________
Relationship:
________________________________
Telephone Number:
________________________________
Name:
________________________________
Relationship:
________________________________
Telephone Number:
________________________________
Credit References:
Credit Institution:
________________________________
Address: _________________________
City: __________ State: ___ Zip: ____
Telephone Number:
________________________________
Credit Institution:
________________________________
Address: _________________________
City: __________ State: ___ Zip: ____
Telephone Number:
________________________________
Credit Institution:
________________________________
Address: _________________________
City: __________ State: ___ Zip: ____
Telephone Number:
________________________________
Additional Information:
How many cars belong to you? ____
Make / Model: ________ Year: ____
Color: ____ Tag ID: _________ State: ______
Make / Model: ________ Year: ____
Color: ____ Tag ID: _________ State: ______
Make / Model: ________ Year: ____
Color: ____ Tag ID: _________ State: ______
Have you ever filed for bankruptcy?
[__] Yes [__] No
If yes, what was the date:
____/____/______
Explain: _______________________
________________________________
As the applicant of this Rental Credit Application, I do hereby authorize verification of any and all information that is contained in the above Application. This includes the release of information by any bank, other financial institution, employer either present or former, landlord and / or any other lender. All information that is released and / or contained in this Application will be kept confidential. All information found above in this Application is true and complete. Any material misrepresentation that is on this Application shall constitute default under the Rental Agreement between the parties.
_______________________ Date_____
Signature of Applicant
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