RENTAL APPLICATION
(1 per applicant)
____________________________________________________________________
Non-Refundable Fee: __________
THE PROPERTY
Type : _______________________________________________________________
(Apartment, Home, Condo)
Square Feet : _____________
Number of Bedrooms: ________
Rent Amount: _______________ per month
Address:
Street : _______________________________________________________________
City: _______________________ State: ________________ Zip: ________________
The following are allowed: (Yes or No)
___ Pets
___ Smoking
___ Parking
If Yes, Describe the Parking:
_______________________________________________
TENANCY
Type/Length: _____________________________________ Start Date: ____________
APPLICANT DETAILS
Full Name: ______________________ DOB: _____________ SSN: ______________
Driver’s License No. ________________________________ Phone: ______________
E-Mail: ____________________________
The following are allowed/not allowed:
Please check Yes or No
Other Occupants
Please check one:
___ Yes
___ No
If Yes, Describe: ________________________________________________________
Pets
Please check one:
___ Yes
___ No
If Yes, Describe: ________________________________________________________
Vehicles
Please check one:
___ Yes
___ No
If Yes, Describe: ________________________________________________________
Please choose Yes or No
Ever Been Convicted of a Crime
Please check one:
___ Yes
___ No
If Yes, Describe: ________________________________________________________
Ever Filed for Bankruptcy
Please check one:
___ Yes
___ No
If Yes, Describe: ________________________________________________________
Ever Been Evicted
Please check one:
___ Yes
___ No
If Yes, Describe: ________________________________________________________
CURRENT EMPLOYMENT
Company: ________________________ Occupation/Title: _____________________
How Long? ___________ Gross Income: _____________ (From Prior Year Tax Filing)
Street Address: ________________________________________________________
City: ___________________________________________ State: ________________
PREVIOUS EMPLOYMENT
Company: __________________________ Occupation/Title: ____________________
How Long? _________________________ Gross Income: ______________________
Street Address: _________________________________________________________
City: ________________________________ State: ____________________________
CURRENT RESIDENCE
Type : _______________________________________________________________
(Apartment, Home, Condo)
Square Feet: _______________________
Number of Bedrooms: ________________
Rent Amount: _______________ per month
Street Address: _______________________________________________________
City: ________________ State: _______________________ Zip: ________________
How long at this Address? ___________ Current Lease Expiration Date: ___________
Reason for Moving ______________________________________________________
CURRENT LANDLORD
Name: ________________________________________________________________
Address: ______________________________________________________________
Contact Number: _____________________ E-Mail: ____________________________
PREVIOUS RESIDENCE
Type : _______________________________________________________________
(Apartment, Home, Condo)
Square Feet: _______________
Bedrooms: _________________
Rent Amount: _______________ per month
Street Address: _______________________________________________________
City: ______________________ State: ________________ Zip: ________________
Start Date: ____________
End Date: ____________
PREVIOUS LANDLORD
Full Name: ____________________________________________________________
Address: ______________________________________________________________
Contact Number: _____________________ E-Mail: ____________________________
PREVIOUS RESIDENCE
Type : _______________________________________________________________
(Apartment, Home, Condo)
Square Feet: _______________
Bedrooms: _________________
Rent Amount: _______________ per month
Street Address: _______________________________________________________
City: ___________________ State: ___________________ Zip: ________________
Start Date: ___________
End Date: ___________
PREVIOUS LANDLORD
Full Name: ____________________________________________________________
Address: ______________________________________________________________
Contact Number: _____________________ E-Mail: ____________________________
PERSONAL REFERENCES
Full Name: ____________________________ Relationship: __________________
E-Mail: ____________________________ Contact Number: __________________
Full Name: ____________________________ Relationship: __________________
E-Mail: ____________________________ Contact Number: __________________
FINANCIAL INFORMATION
Bank: ___________________________________
Account No._______________________________
Branch Location ____________________________
Type of Account:
____ Checking
____ Savings
Bank: ___________________________________
Account No._______________________________
Branch Location ____________________________
Type of Account:
____ Checking
____ Savings
Please specify the type of card:
(Visa/MasterCard or Others)
Credit Card: _________________
Card Number: _______________
Limit: ______________________
Please specify the type of card:
(Visa/MasterCard or Others)
Credit Card: _________________
Card Number: _______________
Limit: ______________________
CONSENT AND ACKNOWLEDGMENT
I hereby certify that I am at least 18 years of age. I hereby authorize the verification of
all references and facts, including but not limited to current and previous landlords,
employers, and personal references.
I hereby authorize the owner/agent to obtain any and all Unlawful Detainer, Credit
Reports, Tele checks, and/or Criminal Background Reports. I agree to furnish additional
credit and/or personal references upon request.
I understand that incomplete or incorrect information provided in the application may
cause a delay in processing which may result in denial of tenancy. I hereby waive any
claim and releases from liability any person providing or obtaining said verification or
additional information. All information given on this application is true and correct.
Applicant’s Signature _______________________________ Date _______________
Full Name (Printed) ____________________________________________________
CONSUMER DISCLOSURE
I authorize the Landlord and its agents to obtain an investigative consumer credit report
including but not limited to credit history, OFAC search, landlord/tenant court record
search, criminal record search and registered sex offender search. I authorize the
release of information from previous or current landlords, employers, and bank
representatives.
This investigation is for resident screening purposes only and is strictly confidential. This
report contains information compiled from sources believed to be reliable, but the
accuracy of which cannot be guaranteed. I hereby hold the Landlord and its agents free
and harmless of any liability for any damages arising out of any improper use of this
information.
Applicant’s Signature _______________________________ Date _______________
Full Name (Printed) ____________________________________________________
