APPLICATION TO RENT PROPERTY
OFFICE USE ONLY
The undersigned hereby makes an application to rent the following property:
______
Anticipated move date of: ______
At a monthly rent of $______and security deposit of $______
Please answer the following questions fully:
PERSONAL INFORMATION
Number of occupants covered by this application: ______adults ______children
Applicant:
Name:______Date of birth: ______
Current Address: ______
______
Current phone number: Home:______Work: ______Mobile:______
Social Security Number: ______
Driver’s License Number: ______
Description of your vehicle (make, model, year and lic. plate number): ______
Co-Applicant:
Name: ______Date of birth: ______
Current Address: ______
______
Current phone number: Home:______Work: ______Mobile:______
Social Security Number: ______
Driver’s License Number: ______
Description of vehicle (make, model, year and lic. plate number): ______
EMPLOYMENT
Applicant:
Employment status, including occupation and/ or student status: ______
Name, address & phone number of current employer: ______
Length of time with current employer: ______
Position with current employer: ______
Gross monthly income: $______
Name, address and phone number of prior employer if with current emplyer less than one year: ______
______
Co-Applicant:
Employment status, including occupation and/ or student status: ______
Name, address & phone number of current employer: ______
Length of time with current employer: ______
Position with current employer: ______
Gross monthly income: $______
Name, address and phone number of prior employer if with current employer less than one year: ______
______
RENTAL HISTORY
Applicant:
Name, address & phone number of current landlord: ______
______
Date current lease expires: ______
How long have you lived at your current address?: ______
Your immediately previous address: ______
______
Name, address & phone number of immediately previous landlord: ______
______
Have you ever been evicted or sued by a landlord? ______If yes, explain ______
______
Co-Applicant:
Name, address & phone number of current landlord: ______
______
Date current lease expires: ______
How long have you lived at your current address?: ______
Your immediately previous address: ______
______
Name, address & phone number of immediately previous landlord: ______
______
Have you ever been evicted or sued by a landlord? ______If yes, explain ______
______
OTHER
Applicant:
Name, address and phone number of closest relative not residing with applicant: ______
______
Nature of the relationship to that relative: ______
Name of your current creditors, including charge cards, student loans and commercial loans: ______
______
Have you ever been convicted of a criminal offense? ______if yes, explain____
______
Have you ever filed for bankruptcy?______if yes, when______
Do you have any bank accounts?______if yes, please answer the following questions:
Name of bank: ______Type of account______
Account number: ______
Co-Applicant:
Name, address and phone number of closest relative not residing with applicant: ______
______
Nature of the relationship to that relative: ______
Name of your current creditors, including charge cards, student loans and commercial loans: ______
______
Have you ever been convicted of a criminal offense? ______if yes, explain____
______
Have you ever filed for bankruptcy? ______if yes, when______
Do you have any bank accounts?______if yes, please answer the following questions:
Name of bank: ______Type of account______
Account number: ______
CONDITIONS
Landlord may refuse to rent to Applicant if any of the information provided herein is found to be untrue, and may terminate Applicant’s tenancy if information provided herein is found to be untrue after renting to Applicant.
If Landlord rents premises to Applicant, possession of the unit shall not be provided to Applicant until, in Landlord’s sole discretion, the premises are ready for occupancy.
Except as provided in the lease, the Landlord shall not be liable for damages in the event the premises are not ready for occupancy on the date prescribed in the lease, and Landlord shall not be liable for damages in any event where the premises cannot be occupied on the prescribed date because of causes beyond Landlord’s control.
I authorize the person to whom this application is made and any credit bureau or other investigative agency employed by such person to investigate any references herein listed or statements or other data obtained from me or from any other source pertaining to my credit or financial responsibility. I also authorize the person to whom this application is made (including his or her agents) to obtain a copy of my credit report to assist in evaluation my application and, thereafter, to obtain and use in attempting to collect unpaid rent, late fees, or other charges from me.
I CERTIFY THAT LL OF THE INFORMATION I HAVE PROVIDED IN RESPONSE TO THE QUESTIONS CONTAINED IN THIS APPLICATION IS TRUE. I FURTHER CERTIFY THAT I HAVE READ THE CONDITIONS CONTAINED AT THE BOTTOM OF THIS APPLICATION FORM, THAT I UNDERSTAND THEM, AND THAT I VOLUNTARILY SUBMIT THIS APPLICATION.
______
Applicant’s Signature:Date:
______
Applicant’s Printed Name:
______
Co-Applicant’s Signature:Date:
______
Co-Applicant’s Printed Name: