Applicant’s Full Name____________________ Spouse’s Name___________________
Applicant’s Soc. Sec. # _____-____-_____ Spouse’s Soc. Sec. # ____-____-____
Driver’s License # ______________________ What State? _____
Present Address ________________________________________________________
Street City State Zip
How long at present address _____________ Phone Number _______________
Amount of rent currently paying ___________ Reason for Moving ____________
List last 3 landlords and phone numbers 1) __________________ ___________
2) ___________________ __________ 3) __________________ ___________
Employed by ____________________________ How long? _____________________
Position ____________ Work Phone # _________ Gross Salary Per Month _________
Total of other income per month _______________________________________
Other residents who will reside with you and their relationship to you: ____________
______________________________________________________________________
Do you have any pets? Yes __ No__ If yes, what kind? ____________________
In case of an emergency notify: _______________________ ____________________
Name Phone Number
Credit References 1) _______________________________________________
Bank/Credit card 2) ________________________________________________
**Personal References 1) __________________________ Phone # __________
2) __________________________ Phone # __________
**These could be Supervisors at work or non-relative friends.
WE WILL RUN A CREDIT CHECK ON THIS APPLICATION THROUGH THE LOCAL CREDIT BUREAU AND WE WILL ALSO RUN THIS APPLICATION THROUGH THE RENTER’S DIRECTORY SYSTEM. ANY FALSE STATEMENT WILL BE CAUSE FOR IMMEDIATE REJECTION OF THIS APPLICANT.
I, __________________________, give _____________________ permission to
verify the information given on the application.
Applicant’s Signature
Landlord
Date ___/___/___