2007-2008 RENTAL APPLICATION
PROPERTY ADDRESS_____________________________________________________
APPLICANT #______ INFORMATION
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Name: |
Date of Birth | |
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Social Security No.: - - |
Driver's License No: | |
C0-APPLICANT INFORMATION (If you share the same rent history)
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Name: |
Date of Birth | |
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Social Security No.: - - |
Driver's License No: | |
RENTAL HISTORY
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Your current address: | |
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How long at present address |
Your phone #: |
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Current rent payment: |
Reason for moving |
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Landlord's Name: |
Landlords phone: |
YOUR HOUSING HISTORY FOR THE LAST 2 YEARS
Address:__________________________________________________________________
How long at this address__________________
Did you rent, own or live with someone else?_____________________________________
Is this your first time to rent?__________________________________________________
If yes, do you have a parent willing to cosign?____________________________________
Amount of rent or house payment:______________________________________________
Landlord’s name and phone number:____________________________________________
Or Name of Mortgage Company:_______________________________________________
OTHER OCCUPANTS:
Who else will be living with you in this apartment/house/mobile home?
Name Age
___________________________________________________________________________________________________________________________________________________________________________________________________________________________
IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.
VEHICLE:
Make, Model and color of the vehicle you will have parked at this address:
_________________________________________________________________
EMPLOYMENT OR SOURCE OF INCOME THAT WILL BE USED TO PAY THE RENT
__________________________________________________________________________________________________________________________________________________
PETS: Do you have pets? Yes_______ No_________
If so, describe what pet(s) by type, breed, size and number: ______________________
______________________________________________________________________
OTHER:
Do you smoke? Yes_____ No_____ If yes, do you have any objection to smoking outdoors only? Yes_____ No_____
Have you ever been convicted of a felony? Yes_________ No____________
If yes, explain:____________________________________________________________
Have you ever willfully refused to pay rent when due: Yes___________ No____________
If yes, explain:_____________________________________________________________
Have you ever been evicted? Yes___________ No__________
If yes, explain______________________________________________________________
EMERGENCY CONTACT INFORMATION
Nearest relative not living with you: Name:_______________________________________
Phone number:______________________________
Emergency contact person (if different from above): Name:__________________________
Phone number_______________________________________________________
Landlord does not discriminate against any applicant on the basis of an illegal purpose including, race, color, religion, sex, national origin, age, disability or family status. Such discrimination as the sole basis of refusal to rent is illegal throughout the United States. Local or State laws may provide additional protected classes from discrimination. You can call the U.S. Department of Housing and Urban Development (HUD) at 1-800-424-8590 to ask questions about discrimination.
I represent that the information provided in this Application is true and correct to the best of my knowledge.
I understand that this Application is not a rental agreement and that this Application does not create any obligation on the Landlord.
I understand that the information provided might be used by Landlord to determine whether to accept this Application. I authorize Landlord to verify all the information given in this application.
I also authorize Landlord to perform a credit check and a criminal history check. I consent to the release of information relating to my credit and the information provided in this application.
_____________________________________________ _______________
Applicant's Signature Date
_____________________________________________ _______________
Co-Applicant's Signature Date