Rental Application
This is a non-smoking house, no smokers please.
Your application has been submitted.
Applicant Information
All other occupants
Name Birth Date Relationship to Applicant SSN
Rental History
Current Residence
Addresss City State Zip Code
Monthly Rent Dates of Residency (from/to) Reason For Moving
Owner/Manager Phone Number
Previous Residence
Addresss City State Zip Code
Monthly Rent Dates of Residency (from/to) Reason For Moving
Owner/Manager Phone Number
Employer
Employer Address Employer Phone Number Dates of Employment (from/to)
Name of Supervisor Occupation Monthly Pay
Credit History
Have you ever been late or delinquent on rent?
Have you ever been evicted?
Is there anything negative in your credit or background check?
General Information
Have you ever been party to a lawsuit?
Are you or anyone else that would be living in the house a smoker?
Do you have any pets?
If you have pets, list type, breed, weight, and age.
List all vehicles and license plates:
Credit Check and Release of Information
By signing this application, I verify that the statements in this application are true and correct. I understand that as part of the rental application that the Landlord or his assignees may verify any information provided on this form. This includes but is not limited to contacting my employer, past landlords, banks, any other people that I have listed on my application or any other information pertinent to this application . Additionally, a credit check and eviction check may be done. I authorize the Landlord or his assignees to do the credit check and eviction check and review the credit check and eviction check information. I understand that false or lack of information may result in the rejection of this application.
Signature
This is a non-smoking house, no smokers please.