Rental Application: Your Information
Rental Application: Your Information
Your Information
Full legal name:
Phone number: (
First
Middle
Last
Date of birth:
mo
Drivers license #:
Current Address
State issued:
State:
Apt #:
Address:
Zip:
City:
Landlords Name:
Landlords Phone: (
year
Previous Address
Address:
City:
day
Apt #:
State:
Zip:
Landlords Name:
)
Landlords Phone: (
Monthly Rent: $
Monthly Rent: $
o Yes
o Yes
o Yes
out?
o No
o No
o No
out?
o Yes
o Yes
o Yes
o No
o No
o No
Your position:
Address:
City:
State:
Zip:
Your supervisor:
Your Personal History
Have you ever?
been asked to move out or evicted?
declared bankruptcy?
been sued for damage to a rental unit?
Your Vehicle
Make:
)
o Gross o Net
Monthly Salary:
o Yes
o Yes
o No
o Yes
o No
o No
Model:
o No
o Yes
o No
o No
Color:
State:
Phone:
Address:
Please Read Carefully
City:
State:
I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be
cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or
Landlords agents to verify the information on the application. Verification or re-verification of any information contained in the application will be retained by
Landlord. I hereby authorize Tenant Data Services Inc. to obtain information about me, including, but not limited to, this application, my credit, my tenant history,
my check writing history, any court records and/or my criminal record, and I hereby authorize & instruct any entity or person contacted by Tenant Data Services
Inc. or the Landlord or Landlords agents to release such information to them. Upon request, Landlord, Landlords agents, or Tenant Data will provide the name &
phone number of the source of the information used in the verification process.
Rent Amount:
Security Deposit:
Lease Term:
Applicant:
Date:
Non-Refundable Application Fee: $________
Move-in date: