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RENTAL APPLICATION
Name ________________________________ Home Phone ____________________
Social Security Number ________________ Work Phone __________
Driver's license number ____________
Present Address _____________________________________________________How long at this address? ______________ Rent $ __________________ Reason for Moving _________________________________ Owner/Manager ________________ Phone _________
Previous Address _____________________________________________________ How long at this address? ______________ Rent $ __________________ Reason for Moving ________________________________ Owner/Manager _________________ Phone ________
Name and relationship of every person to live with you, even if only temporarily (include names and ages of minors): _____________________________________________________
_____________________________________________________
Any pets? ______ Describe ________________________________ Waterbed? ______
Occupation __________________ Employer _____________________ Phone ________
Duration of Employment _______ Supervisor ______________________ Phone _______
Previous Occupation _________________ Employer ________________ Phone _______
Duration _________ Supervisor _______________________________ Phone ________
Current Gross Income Per Month (before deductions) $ ___________________________
List sources of income (other than employment listed above ________________________ _____________________________________________________
Savings Acct.. _________ Branch ______________ Acct.. No. ______________________
Checking Acct. ________ Branch ______________ Acct.. No. _____________________
Credit Reference ______________________ Acct. no. __________ Balance Owed _____
HAVE YOU...
ever filed bankruptcy? ____ ever been evicted? ____ ever been convicted of a felony? ___
Vehicle Make __________ Model ____________ Year _________ License ___________
Vehicle Make __________ Model ____________ Year _________ License ___________
Personal Reference ___________________ Address _____________________________
Phone ________________
Contact in Emergency _________________ Address _____________________________
Phone ________________
I declare that the information provided above is accurate. I authorize verification of my references and credit as they relate to my tenancy and to future rent collection.
___________________________ _______________________
Applicant Date
Warning:
These forms are provided AS IS. They may not be any good. Even if they are good in one jurisdiction, they may not work in another. And the facts of your situation may make these forms inappropriate for you. They are for informational purposes only, and you should consult an attorney before using them.
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