Application for Rental/Tenancy

    (Each applicant/co-applicant of dwelling must complete a separate application)

    Requested Move in Date:**

    Property Address you are Making this Application for:**

    Applicant's Name:**

    Applicant's Date of Birth:**

    Email:**

    Cell:**

    Other phone:

    Number of Persons who will be Occupying the Property:**

    Other Applicant 1:

    Full Name:

    Date of Birth:

    Relationship:

    Other Applicant 2:

    Full Name:

    Date of Birth:

    Relationship:

    Other Applicant 3:

    Full Name:

    Date of Birth:

    Relationship:

    Do you intend to have:

    Pets:**

    If YES, what type, breed, and weight?

    Optional Information:

    Social Security Number:

    Check if over 18 and/or Age:

    Marital Status:

    Spouse Name:

    Current Address (if applicable, include name of complex and apartment number):**

    Monthly Rent:** $

    Landlord/Property Manager Information:

    Landlord/Property Manager's Name:**

    Landlord/Property Manager's Phone Number:**

    Landlord/Property Manager's Address:**

    Month and Year Moved In:**

    Reason for Wanting to Move:**

    Previous Address:

    Monthly Rent: $

    Landlord/Property Manager Information:

    Landlord/Property Manager's Name:

    Landlord/Property Manager's Phone Number:

    Landlord/Property Manager's Address:

    Month and Year Moved In:

    Reason for Moving:

    Employment Information. Please provide employment history for past five (5) years.

    Current Employment:**

    If "Other" please explain):

    If a student, where and what year in school, expected graduation date, major:

    Current Employer

    Name, Address, and Phone Number:**

    Job Title or Description:**

    Employment Period:

    From**

    Salary:** $

    per**

    Name, Address, and Phone Number of Supervisor:**

    PREVIOUS Employers

    Employer Name, Address, and Phone Number:

    Job title or description:

    Employment Period:

    From

    to

    Salary: $

    per

    Name, Address, and Phone Number of Supervisor:

    Reason for Separating:

    Financial Accounts and References

    Name of Bank/Financial Institution:

    Name of Credit Card and Issuer:

    Other Sources of Income and Amount:

    Nearest Relatives/Emergency Contacts (relationship, address, and phone number):**

    Three (3) Personal References (Name, Address, Phone, Relationship):

    Any other information I feel is relevant to my application for rental/tenancy:

    Vehicle & Rental Insurance Information

    Vehicle Make and Model:

    Name of insurance company & policy number:

    Drivers License #:

    Vehicle License Plate #:

    Own Renter's Insurance?YesNo

    If yes, what company:

    HAVE YOU EVER BEEN OR ARE CURRENTLY BEING EVICTED OR RECEIVED A LEASE TERMINATION FROM A PROPERTY?**YesNo

    ARE YOU REQUIRED TO REGISTER WITH A SEX OFFENDER REGISTRY?**YesNo

    Have you ever been convicted of any crime (other than a misdemeanor)?**YesNo

    Have you ever declared bankruptcy?**YesNo

    Have you ever been arrested for any serious offense?**YesNo

    Have you ever entered a guilty plea or no contest to any criminal offense?**YesNo

    Do you have an outstanding Personal Judgment against you?**YesNo

    Were you ever or currently, an illegal abuser or addicted to any controlled substances?**YesNo

    To your knowledge are there any persons or person you plan to have living in this household, ever or currently, an illegal abuser or addicted to any controlled substances?**YesNo

    Please give particulars to any yes answers above.

    IF APPROVED WILL YOU COMPLY WITH ALL TERMS OF LEASE?**YESNO

    By submitting this application, applicant authorizes verification of credit and driving record reports.
    THE APPLICANT REPRESENTS THAT ALL INFORMATION CONTAINED WITHIN, IS TRUE AND CORRECT AND HEREBY AUTHORIZES VERIFICATION OF THE INFORMATION AND REFERENCES. THE PROVIDING OF UNTRUE OR INCORRECT INFORMATION SHALL BE GROUNDS TO REFUSE OR TERMINATE ANY RENTAL AGREEMENT. THE LANDLORD/PROPERTY MANAGER RESERVES THE RIGHT TO REFUSE ANY APPLICANT FOR ANY REASON. THIS APPLICATION DOES NOT GUARANTEE TENANCY UNTIL THE RENTAL LEASE AGREEMENT HAS BEEN SIGNED, AND THE PRESENT TENANT HAS VACATED THE PREMISES. NO PERSONS OTHER THAN THOSE SPECIFICALLY NAMED AS TENANTS OR OCCUPANTS WILL BE PERMITTED TO OCCUPY THE DWELLING WITHOUT THE WRITTEN CONSENT OF THE LANDLORD AND AN APPROPRIATE ADJUSTMENT IN THE RENT.
    By signing this application, I certify all the above information is true and filled out to the best of my knowledge.

    Applicant's Signature: **     

    Today Date: **     

    Please make sure all reqiered (**) feelds are filled in before submiting your form. Thank you.