Rental Application

Property Located at
Rent Starting (required)
Full Name
Date of Birth
Daytime Phone Number
Cell (Alt) Phone Number
Email
Legal Name of Additional Proposed Occupants Date of Birth Relationship to Applicant

Current Address

Street Name
City
Postal Code
Monthly Rent Paid
Date Moved in
Owner/Manager Name
Owner/Manager Phone Number
Is Rent Paid in Full

Previous Address

Street Name
City
Postal Code
Date Moved In
Date Moved Out
Monthly Rent Paid
Owner/Manager Name
Owner/Manager Phone Number

Current Employment

Employed By
Phone Number
Address
Name of Supervisor
Position/Occupation
Date of Employment
Average hours per week
Annual Salary

Previous Employment

Employed By
Phone Number
Address
Name of Supervisor
Position/Occupation
Date of Employment
Date of Employment
Average hours per week
Annual Salary

Other Information

Other Sources of Income
Vehicle License Plate Number
Smoking (required)
Do you have any pets? Provide details (Type, Breed, Weight)
Have you ever been sued for non-payment of rent? (required)
Have you ever been evicted, served with an eviction note or asked to move out? (required)
Have you ever been sued for damages to a rental property?(required)
Have you ever declared bankruptcy?(required)
Date of declaring bankruptcy
We may run a credit check and a criminal background check. Is there anything negative that we will find out that you would like to comment on?

I authorize the reporting agencies and other persons to disclose information about me to the Landlord or to his or her Agent. The Landlord or his or her Agent may obtain credit information about me from any bank, credit bureau, my employers, or any persons listed above. You may disclose (automatically or upon request) credit information about me to a credit bureau, and to persons with whom I have or propose to have financial dealings, or if you believe disclosure is required by law. I authorize verification of any and all information given by me in this Application and authorize you to contact any landlord, employer, or reference set out above.

I understand that all personal information collected shall be kept confidential in a secure place and shall be destroyed, erased, or made anonymous when the use of the information has been fulfilled.

I also understand that a one year lease agreement would be required.

I believe that the statements I have made are true and correct. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part.