Application To Rent
Application To Rent
Application To Rent
DESCRIBE EACH & EVERY PERSON WHO WILL OCCUPY THE PREMISES
WILL YOU HAVE ANY PETS? IF YES, PLEASE DESCRIBE WILL YOU HAVE ANY LIQUID FILLED FURNITURE? IF YES, DESCRIBE
APPLICATION TO RENT
Each Individual Occupant Who is Responsible for Rent Payment
MUST Complete A Separate Application Form (California Residents 18 years or older Apply)
(APPRENT2.PDF) COPYRIGHT 1999-2004 WWW.LANDLORD.COM
LAST NAME FIRST NAME MIDDLE NAME SOCIAL SECURITY NUMBER
DRIVER'S LICENSE NO. DATE OF BIRTH
HOME PHONE NUMBER
( )
1 PRESENT HOME ADDRESS CITY
STATE ZIP CODE
LENGTH OF TIME LANDLORD NAME LANDLORD PHONE NO.
( )
STATE REASON FOR MOVING
2 PREVI OUS HOME ADDRESS CITY
STATE ZIP CODE
LENGTH OF TIME LANDLORD NAME LANDLORD PHONE NO.
( )
STATE REASON FOR MOVING
3 NEXT PREVIOUS HOME ADDRESS CITY
STATE ZIP CODE
LENGTH OF TI ME LANDLORD NAME LANDLORD PHONE NO.
( )
STATE REASON FOR MOVING
Current Gross Income
Year
PER
Week
Month
$
Account Number Branch or Address Name of your Bank
Checking
Savings
EMPLOYMENT/FINANCIAL INFORMATION
Employer Present
Name Occupation
Employer Phone How long with
( ) address number this Employer
Name of your
Supervisor
Employer Prior
Name Occupation
Employer Phone How long with
( ) number address this Employer
Name of your
Supervisor
PROPOSED OCCUPANT(S)
Name of Creditor Address Phone Number Monthly Payment Amt.
( )
( )
( )
Please List ALL of your Financial Obligations
( )
( )
(If More Creditors Use Additional Sheet of Paper)
( )
COPYRIGHT 2004 WWW.LANDLORD.COM
FORM Courtesy of
Landlord.com
STATE EMAIL ADDRESS
VEHICLE MAKE MODEL YEAR LICENSE NO.
VEHICLE MAKE MODEL YEAR LICENSE NO.
MOTORCYCLES (OTHER VEHICLES) MODEL YEAR LICENSE NO.
PERSONAL REFERENCES
1 .
ADDRESS PHONE YEARS KNOWN
2.
3.
Have you ever filed for bankruptcy?
Have you ever been evicted or asked to move?
IF YES, DATE BK FILED AND DESCRIBE:
APPRENT2.PDF
IN CASE OF EMERGENCY, NOTIFY:
1.
ADDRESS PHONE RELATIONSHI P
2.
EMERGENCY/PERSONAL REFERENCE INFORMATION
VEHICLE INFORMATION- (Please state exact number of motor vehicle that will be at the premises)
APPLICANT AUTHORIZATION
MOTHER'S MAIDEN NAME:
IF YES, PLEASE DESCRIBE:
Applicant represents that all the above statements are true and correct and hereby authorizes landlord/agent to verify the above items including, but not limited
to, the obtaining of a credit report and agrees to furnish additional credit references upon request.
The undersigned makes application to rent housing accommodations designated as:
Address of:
per and upon approval of this application agrees to sign a rental or lease the rental for which is $
agreement and to pay all sums due, including required deposits, before occupancy.
Signature of Applicant Date
Apt. No.
City/State
Week Month Other
Landlord/Agent received a payment of $
which will be used to verify Applicant's credit history and other background information. The amount charged is itemized as follows:
1. Actual cost of credit report, including any eviction search, and/or other verifying reports: $
2. Landlord/Agent cost to process and screen applicant's supplied information:
3. TOTAL FEE charged (not to exceed $30.00 per applicant (California Residents Only)):
$
$
COPYRIGHT 1999-2004 WWW.LANDLORD.COM