Application to Rent
Applicants name:  
SS#  
Date of Birth:  
Phone:  
Email:  
Drivers License #  
State issued:  
Spouses Name:  
SS#  
Drivers License #  
Date of Birth: mm/dd/yy  
Phone:  
Occupants Name:  
Relationship:  
Age:  
Apartment/Building Applying for:  
Unit #  
Current Address    
Street:  
Apartment #  
City:  
State:  
Zip:  
Amount:  
How long - from - to  
Landlord Name:  
Phone:  
Prior Address
Street:  
Apartment #  
City:  
State:  
Zip:  
Amount:  
How long - from - to  
Landlord Name:  
Phone:  
Present Occupation    
Employer:  
Address:  
City:  
State:  
Zip:  
Business Type:  
Occupation:  
Manager:  
Manager Phone:  
Hire Date: mm/dd/yy  
Monthly Salary:  
Prior Occupation    
Employer:  
Address:  
City:  
State:  
Zip:  
Business Type:  
Occupation:  
Manager:  
Manager Phone:  
Hire Date:  
Monthly Salary:  
Spouse's Occupation    
Employer:  
Address:  
City:  
State:  
Zip:  
Business Type:  
Occupation:  
Manager:  
Manager Phone:  
Hire Date:  
Monthly Salary:  
Additional Income    
Do you have a checking account? yes no  
Savings account? yes no  
Bank:  
Branch:  
City:  
State:  
What state did you aquire credit?  
Pets    
Do you have pets? yes no  
Size:  
Type:  
Have you ever used any other names? yes no  
If yes, list name(s)  
Local Friend:  
Phone:  
Address  
Nearest Relative:  
Phone:  
Address:  
Emergency Contact:  
Phone:  
Address:  
Have you or your spouse been evicted? yes no  
Refused to pay rent? yes no  
Filed bankruptcy? yes no  
Convicted of a Felony? yes no  
Have you or any other person on this application ever been convicted of dealing, possessing, or manufacturing illegal drugs? yes no  
Comments:
 
In compliance with the Fair Credit reporting act, we are informing you that information as to your character, general reputation, and mode of living is verified.  The facts set forth in the application are ture and complete.  I am the prospective tenant agree that a complete investication of all on this application will not constitute incation of privacy.  I a aware of and extend the privilege to the owner to obtain credit reports, rental, employment verification, bank information and/or character reports as necessary .  the owner has my permission to release information found in screening.  I also agree to the release of information found in screening for any lawful purpose associated with the tenancy of the premises.  I understand that any misrepresentations would be sufficient cause for dismissal if denied due to credit, I can, according to the Fair Credit Reporting Act, get a copy of my credit wholesaler.  I agree to all the above and sign this of my own volition.