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RESIDENTIAL RENTAL APPLICATION
RESIDENTIAL RENTAL APPLICATION
( Each adult to complete separate application )
Property/Unit:_________
Please print clearly
1. Name of Applicant_____________________________ Phone_____________
Present Address_____________________________________________________
How Long There?____________________ S.S. Number________-____-_______
2. Present Landlord______________________________ Phone_____________
Address_____________________________________________________________
Monthly Rent________________________ Reason for Leaving_____________
3. Previous Landlord_____________________________ Phone_____________
Address_____________________________________________________________
Monthly Rent____________________________How Long There?_____________
Reason for Leaving__________________________________________________
4. Full names of all individuals (and ages of all children) who will be occupying premises_______________________________________________
5. Pets (specify)___________________________________________________
6. Have you ever been evicted, sued for nonpayment of rent, or breached a lease (if so, explain)?__________________________________
7. Present Employer______________________________ Phone_____________
Address______________________________________Occupation_____________
Gross Monthly Salary_______________Length of Employment_____________
8. Previous Employer_____________________________ Phone_____________
Address______________________________________Occupation_____________
Gross Monthly Salary_______________Length of Employment_____________
9. Other Income, if any (specify source)____________________________
10. Bank-Checking Account_____________________Account Number________
Address____________________________Approximate Balance______________
11. Bank-Savings Account______________________Account Number________
Address____________________________Approximate Balance______________
12. Bank-Additional Account___________________Account Number________
Address____________________________Approximate Balance______________
13. Credit Cards:
(1)_________________Bank___________________Card Number______________
(2)_________________Bank___________________Card Number______________
(3)_________________Bank___________________Card Number______________
14. Loans:
(1)Lender______________________________________Balance______________
Address________________________________Monthly Payment______________
(2)Lender______________________________________Balance______________
Address________________________________Monthly Payment______________
15. Other Debts and Obligations, if any (specify)___________________
16. Personal Reference___________________________ Phone_____________
Address_____________________________________________________________
17. Automobiles:
Your License Number________________________________________State____
(1)Make/Model______________Year___________Plate____________State____
(2)Make/Model______________Year___________Plate____________State____
18. In case of emergency notify_____________________________________
Address__________________________________________ Phone_____________
I certify that the above information is true and complete. I authorize the verification of this information by contacting any or all individuals and financial institutions listed above. I understand that this is not a lease or an offer to rent. No binding obligation of any kind exists between the owner and myself unless and until a lease is signed. This Application is subject to prior Applications. This Application shall remain the property of the owner.
Signature of Applicant________________________________Date__________
NO PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY
BECAUSE OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN
OR ANCESTRY. |
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