RENTAL APPLICATION

Name ___________________________ Cell Ph#__________________ Work Ph# ___________

Email address_____________________________________ SS # ________________________

DL #_______________ DOB ___________ Address _________________________________

How long? ______Rent $___________ Reason for Moving _____________________________

Owner/Manager _________________________________________________Ph#___________ 

Previous Address_______________________________________________ How long?_______

Rent $___________ Reason for Moving ____________________________________________

Owner/Manager Name ____________________________________________Ph#___________ 

Highest grade education completed __________ Currently enrolled? (where) _________________

Occupation __________________ Employer ___________________Hours_________________

Previous Occupation _________________ Employer __________________________________

Vehicle Make __________ Model _________________ Year _________ License ___________

Personal Reference ___________________ Address ____________________Ph# ___________

Emergency Contact  ___________________Address ____________________ Ph# ___________

FOR AUTHORIZED CREDIT CHECK:

Current Gross Income Per Month (all sources before deductions) $________________________

Savings Acct. ____________________________________ Acct. #_(last 4 digits)_______________

Checking Acct.___________________________________ Acct. #_(last 4 digits)_______________

Major Credit Card __________ Acct No. (last 4 digits) ______________________________

Credit Reference _______________________________________ Acct # __________________

HAVE YOU EVER..

filed bankruptcy? ________  been evicted? _______  been convicted of a felony? ____________

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 collection.

Date _________________ Signed ___________________________________________

Verification SSN__DL/ID___CurTenancy___Prev__Credit___Inc___PersRefs___By___