RENTAL APPLICATION FORM
Applicants must be 18 years or older to fill out this application. Please attach a copy of your
most recent photo ID.
Applicant Information
Full Name: __________________________
Date of Birth: ________________________
Phone: _____________________________
Email: ______________________________
Current Address
Street: ________________________
City: ________________________
State: ________________________
Zip Code: ________________________
Dates of Tenancy: ________________________
Name of Landlord: ________________________
Phone Number: ________________________
Reason For Leaving:________________________
Pets?: ________ Please Describe: ________________________
Smoking?:________________________
Parking?: ________________________
Other Occupants
Full Name: _________________ Age: _______
Full Name: _________________ Age: _______
Full Name: _________________ Age: _______
Current Employment & Income Information
Employer: ________________________ Phone: ________________________
Email: ________________________
Employment/Company Address
Street: ________________________
City: ________________________
State: ________________________
Zip Code: ________________________
Occupation: ________________________ Start Date: ________________________
Monthly Salary: ________________________
Other Income Source: ______________________
Monthly Income: ____________________
I hereby certify that all information indicated herein is true and I authorize my references listed
above to release information pertaining to my employment and/or past/ current tenancy. I also
authorize a credit check to be conducted.
________________________ ________________________
Name and Signature of the Applicant Date