Rental Application Rental Application for
(address)________________________________________
Name______________________ Phone_______________ Work Phone______________
Social Driver's Date of
Security No.______________ Lic. No._______________ Birth________________
Present Address_________________________________________________________
How long at this
address?______ Rent $______ Reason for moving______________________
________________________________________________________________
Owner/Manager___________________________________ Phone__________________
Previous Address________________________________________________________
How long at this address?______ Rent $______ Reason for moving___________
________________________________________________________________
Owner/Manager___________________________________ Phone__________________
Name and relationship of every person to live with you, even if only temporarily (include ages of minors):
__________________________________________________________________________________________________________________________________
Any pets?_______ Describe______________________________ Waterbed?_______
Present
Occupation_____________ Employer______________________ Phone____________
How long with this employer?____________ Supervisor______________________ Phone____________
Previous Occupation_____________ Employer______________________ Phone____________
How long with this employer?____________ Supervisor______________________ Phone____________
Current Gross Income Per Month (before deductions) $____________________
List sources of income (other than present employment listed above)
__________________________________________________________________
Savings
Account: Bank______________ Branch______________ Acct. No.______________
Checking
Account: Bank______________ Branch______________ Acct. No.______________
Major Credit
Card__________________ Acct. No.______________________ Expires__________
Credit
Reference_____________ Acct. No._________ Bal. Owed______ Mo. Pmt.______
Credit
Reference_____________ Acct. No._________ Bal. Owed______ Mo. Pmt.______
HAVE YOU
ever filed bankruptcy?_________ ever been evicted?_________ or ever been
convicted of a felony?______ Explain any "yes" answers on back.
Vehicle(s)
Make(s)____________ Model(s)________ Year(s)________ License(s)_________
Personal Reference________________ Address_____________________ Phone____________
Contact in Emergency________________ Address_____________________ Phone____________
I declare that the statements above are true and correct. I authorize verification of my references and credit as they relate to my tenancy AND to future rent collections.
Date________________ Signed_____________________________________________
(Manager’s section)
Verified: SSN____DL/ID____CurTen____Prev____Credit___Inc___Refs___By____ This document and accompanying materials are designed to provide authoritative information in regard to the subject matter covered in it. It is for illustration purposes only and presented with the understanding that the author and publisher are not engaged in rendering legal, accounting or other professional opinions. If legal advice or other expert assistance is required, the services of a competent professional should be sought. | 
