RENTAL APPLICATION
Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.
PERSONAL INFORMATION
FIRST NAME DATE OF BIRTH PHONE MIDDLE LAST S.S.#
STATE
/
_ _
MARITAL STATUS
J SINGLE J MARRIED
PHONE
Since ___________
J DIVORCED
Since ___________
DRIVERS LICENSE # EMAIL
J CELL J HOME
EXT. CITY/STATE/ZIP
J HOME J WORK
PRESENT HOME ADDRESS LENGTH OF TIME REASON FOR LEAVING PREVIOUS HOME ADDRESS LENGTH OF TIME REASON FOR LEAVING NEXT PREVIOUS HOME ADDRESS LENGTH OF TIME REASON FOR LEAVING NEXT PREVIOUS LANDLORD PREVIOUS LANDLORD PRESENT LANDLORD
LANDLORD PHONE AMOUNT OF RENT CITY/STATE/ZIP LANDLORD PHONE AMOUNT OF RENT CITY/STATE/ZIP LANDLORD PHONE AMOUNT OF RENT Was your rent up to date? Was your rent up to date?
Is your present rent up to date?
J YES J NO
_
J YES J NO
_ _
J YES J NO
PROPOSED OCCUPANT(S)
NAME NAME NAME NAME NAME RELATIONSHIP RELATIONSHIP RELATIONSHIP RELATIONSHIP RELATIONSHIP OCCUPATION OCCUPATION OCCUPATION OCCUPATION OCCUPATION AGE AGE AGE AGE AGE
PROPOSED PET(S)
NAME NAME NAME TYPE/BREED TYPE/BREED TYPE/BREED
J J J
COLOR COLOR
INDOOR INDOOR INDOOR
J J J
OUTDOOR OUTDOOR OUTDOOR
AGE AGE AGE
VEHICLE(S) INFORMATION
YEAR YEAR MAKE MAKE MODEL MODEL PLATE # PLATE # STATE STATE
EMPLOYMENT
CURRENT EMPLOYER SUPERVISOR ADDRESS CURRENT EMPLOYER SUPERVISOR ADDRESS OCCUPATION PHONE CITY/STATE/ZIP OCCUPATION PHONE CITY/STATE/ZIP HOURS/WEEK HOURS/WEEK
EXT:
YEARS EMPLOYED
EXT:
YEARS EMPLOYED
INCOME
CURRENT INCOME $____________ CURRENT INCOME $____________ CURRENT INCOME $____________
2008 ezLandlordForms
J WEEKLY J BIWEEKLY J MONTHLY J YEARLY J WEEKLY J BIWEEKLY J MONTHLY J YEARLY J WEEKLY J BIWEEKLY J MONTHLY J YEARLY
SOURCE SOURCE SOURCE
PROOF OF INCOME PROOF OF INCOME PROOF OF INCOME
J YES J NO J YES J NO J YES J NO
Page 1 of 2
RENTAL APPLICATION
Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.
CREDIT CARD / FINANCIAL INFORMATION
CAR LOAN LIEN HOLDER CREDIT CARD COMPANY CREDIT CARD COMPANY CREDIT CARD COMPANY CHILD SUPPORT/ OTHER CREDIT OWED BANK ACCOUNT NAME OF BANK BALANCE OWED BALANCE OWED BALANCE OWED BALANCE OWED BALANCE OWED BALANCE MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT MONTHLY PAYMENT CREDITORS PHONE # CREDITORS PHONE # CREDITORS PHONE # CREDITORS PHONE # CREDITORS PHONE # ACCOUNT NUMBER
EMERGENCY / PERSONAL REFERENCE INFORMATION
EMERGENCY CONTACT RELATION EMERGENCY CONTACT RELATION PERSONAL REFERENCE RELATION PERSONAL REFERENCE RELATION PHONE ADDRESS PHONE ADDRESS PHONE ADDRESS PHONE ADDRESS
J CELL J HOME J CELL J HOME J CELL J HOME J CELL J HOME
PHONE CITY/STATE/ZIP
J HOME J WORK J HOME J WORK J HOME J WORK J HOME J WORK
PHONE CITY/STATE/ZIP
PHONE CITY/STATE/ZIP
PHONE CITY/STATE/ZIP
APPLICANT QUESTIONNAIRE / AUTHORIZATION
Has applicant ever been sued for bills? Has applicant ever been bankrupt? Has applicant ever been guilty of a felony? Has applicant ever broken a Lease?
J YES J YES J YES J YES
J NO J NO J NO J NO
Has applicant ever been locked out of their apartment by the sheriff? Has applicant ever been brought to court by another landlord? Has applicant ever moved owing rent or damaged an apartment? Is the total move-in amount available now (rent and deposit)?
J YES J YES J YES J YES
J NO J NO J NO J NO
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant. All information is true, accurate and complete to the best of applicants knowledge. Landlord reserves the right to disqualify tenant if information is not as represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
X ______________________________________________________________________________________________
APPLICANT SIGNATURE
____________________________________
DATE
If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.
NOTES:
2008 ezLandlordForms
Page 2 of 2
