Each adult 18 and older must fill out a separate application
NEVER send your Social Security number through email Rental Application
Property Details
Property Address Non Refundable Application Fee Security Deposit
Anticipated Move In Date Monthly Rent Pet Deposit
Personal Information
Last First MI SSN# Birth Date Email
Other Names Used Home Phone Mobile Phone Smoker?
Yes No
Other Proposed Occupants Age Relationship Age Relationship
1) 4)
2) 5)
3) 6)
Residency History
Current Residence Prior Residence Prior Residence
Address
City, State & Zip
Rent or Own How Long? Rent or Own How Long? Rent or Own How Long?
Monthly Payment or Rent
From To From To From To
Dates of Residency
Landlord or Mortgage Company
Phone: Phone: Phone:
Reason for Leaving
Employment History
Current Prior Prior
Employer
Address
Phone
Name of Immediate Supervisor
Position/Job Title
From To From To From To
Dates of Employment
Monthly Gross Pay
Reason for Leaving n/a
Credit History
Bank or Institution Name Balance Due Bank or Institution Name Balance Due
Credit Cards
Auto Loans
Other Loans
Personal References
Name Address Telephone
Reference 1
Reference 2
By signing, the applicant represents that all of the above information is true and correct and Signature Date
hereby authorizes verification of the above items including, but not limited to, the obtaining of a
credit report or background check. Applicant also agrees that all application fees are non-
refundable. If any information is false, the Landlord is entitled to reject the application.
Each adult 18 and older must fill out a separate application
NEVER send your Social Security number through email Rental Application
Property Details
Property Address Non Refundable Application Fee Security Deposit
Anticipated Move In Date Monthly Rent Pet Deposit
Personal Information
Last First MI SSN# Birth Date Email
Other Names Used Home Phone Mobile Phone Smoker?
Yes No
Other Proposed Occupants Age Relationship Other Proposed Occupants Age Relationship
1) 4)
2) 5)
3) 6)
Other Information Vehicles
Emergency Contact Relationship Phone Make/Model Year Color
Any pets? Type/Breed Weight/Age Make/Model Year Color
Residency History
Current Residence Prior Residence Prior Residence
Address
City, State & Zip
Rent or Own How Long? Rent or Own How Long? Rent or Own How Long?
Monthly Payment or Rent
From To From To From To
Dates of Residency
Landlord or Mortgage Company
Phone: Phone: Phone:
Reason for Leaving
Employment History
Current Prior Prior
Employer
Address
Phone
Name of Immediate Supervisor
Position/Job Title
From To From To From To
Dates of Employment
Monthly Gross Pay
Reason for Leaving n/a
Credit History
Bank or Institution Name Balance Due Bank or Institution Name Balance Due
Credit Cards
Auto Loans
Other Loans
Obligations Monthly Payment Obligations Monthly Payment
List any other financial obligations
and their minimum monthly
payments
Personal References
Name Address Telephone
Reference 1
Reference 2
Reference 3
General Background Information
Have any of the occupants listed above: Convicted of a Felon? Been Evicted? Declared Bankruptcy? Broken a lease? Been Party to a lawsuit?
Yes No Yes No Yes No Yes No Yes No
By signing, the applicant represents that all of the above information is true and correct and Signature Date
hereby authorizes verification of the above items including, but not limited to, the obtaining of a
credit report or background check. Applicant also agrees that all application fees are non-
refundable. If any information is false, the Landlord is entitled to reject the application.
Rental Application Form
By Vertex42.com
https://www.vertex42.com/ExcelTemplates/rental-application-form.html
© 2013-2014 Vertex42 LLC
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considered a copyrighted work under the United States and other
copyright laws.
Do not submit copies or modifications of this template to any website or
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Please review the following license agreement to learn how you may or
may not use this template. Thank you.
See License Agreement
https://www.vertex42.com/licensing/EULA_privateuse.html
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