RENTAL APPLICATION

ANDREWS PROPERTIES

4309 Frozen Dog Road

Emmett ID 83617

Pat @ Home Office 208-365-7247 Elton 208-284-3564 Tim 208-369-3942

*****Please fill out all lines of application or enter NA*****

This application is made to rent the premises known as: ______

Desired date of occupancy: ______

Desired length of occupancy:______

The monthly rent shall be $ ______

The security deposit shall be $______

The applicant understands that the landlord may perform a credit check to verify the applicant’s references and credit history in connection with the processing of this rental application or for collection purposes should they be necessary.

Full Name: ______

Present address: ______City______State______

Phone #______Date of Birth ______SS # ______-______-______

Driver’s license number: ______Make of Car ______License Plate #______

Spouse’s Full Name: ______

Present address: ______City______State______

Phone #______Date of Birth ______SS# ______-______-______

Driver’s license number: ______Make of Car ______License Plate # ______

Residence History

Information for current address: Landlord’s name: ______Phone #______

Own or Rent ______Monthly Payment ______Was or will your full security deposit returned? ______

If not, why?______# of late payments ______is your rent Current ? ______

Have you given a 30 Day Notice? ______How long have you or did you live at this address? ______to______

Reason for moving: ______

Are you related to or a friend of your current landlord?______

Please complete the following on the residence prior to your current residence:

Landlord’s name: ______Phone #______

Address: ______City______State______

When did you live at this address? ______to______Did you give a 30 Day Notice:? ______

Was your full security deposit returned? ______if no, why not?______

# of late payments ______Monthly payment______Own or Rent______

Reason for moving: ______

Are you related to or a friend of this landlord?______

Income History

PLEASE SUPPLY PROOF OF ALL INCOME: ie Check Stubs, Voucher information, Letters for SSI, etc.

Applicant’s current employment status: Full ______Part-time______Student ______Retired ______Self-employed______

Monthly Income (Total of ALL)Take HomePay : ______

Source of Income: ( ) Wages( ) Govt. Assistance

( ) Salary( ) Commissions( ) Other ______

*Child support, alimony or separate maintenance need not be disclosed UNLESS this is your income to be considered for qualification.

Employer : ______Phone:______

Address: ______City ______State______

Position :______How long: ______Supervisor______

Previous Employer : ______City______State______

Position: ______How long: ______Supervisor______Phone Number ______

Spouse’s Income History

Current employment status: Full ______Part-time______Student ______Retired ______Self-employed______

Monthly Income (Total of ALL)Take HomePay: ______

Source of Income: ( ) Wages( ) Govt. Assistance

( ) Salary ( ) Commissions( ) Other ______

Child support, alimony or separate maintenance need not be disclosed UNLESS this is your income to be considered for qualification.

Spouse’s Employer : ______Phone:______

Address: ______City ______State______

Position :______How long: ______Supervisor______

Previous Employer : ______City______State______

Position :______Supervisor______Phone Number______How long:______

NAME, RELATIONSHIP,COMPLETE ADDRESS AND PHONE NUMBERREQUIRED ON ALL REFERENCES

Additional Payment Information

In the event of some emergency that would prevent you from paying rent when due, is there a relative, person, or agency that could assist you with rent payments?

Name Address City/State Phone Relationship

1.______

2.______

NAME, RELATIONSHIP,COMPLETE ADDRESS AND PHONE NUMBERREQUIRED ON ALL REFERENCES

Personal References -- Nearest relatives -- not living with you.

Name AddressCity/State Phone Relationship

1.______

2.______

NAME, RELATIONSHIP,COMPLETE ADDRESS AND PHONE NUMBERREQUIRED ON ALL REFERENCES

Character references -- not living with you and not related to you.

Name Address City/State Phone Relationship

1.______

2.______

Bank References:

Checking/SavingsBranch Open Acct. ?

1.______

2.______

Credit References:

Name Address Purpose Open Acct. ?

1.______

2.______

Please list all Financial Obligations: (If more creditors please attach additional sheet of paper)

CreditorMonthly Payment Amount

1.______

2.______

3.______4.______

Please answer ALL of the following questions:

Do you have pets? How many? If yes, what? Breed of dog? ______

Have you ever broken a lease? ______Have you ever refused to pay rent for any reason? ______

Have you ever been evicted or asked to leave a rental unit? ______please explain ______

______

Have you ever filed bankruptcy? ______When? ______

Have you ever been convicted of a crime? ______please explain ______

______

Will you give us permission to do a criminal background check? ______

Do you currently have any utilities in your name? ______

Do you currently have phone service in your name? ______

Is there anything to prevent you from placing utilities in your name? ______

Do you know of anything or any reason which may interrupt your ability to pay rent? ______

______

Number of vehicles on property? ______Does each vehicle have a valid registration? ______

Do you have any campers, boats, motorcycles or other type of RV that will be parked at residence? ______If Yes, what?

______+

Please provide names of all tenants, including children AND anyone else who will live in therental on a permanent or/and temporary basis.

NameRelationship

______

______

The information given on this application is accurate and true to the best of my

knowledge and I authorize the manager to verify any or all.

Applicant’s signature______Date ______

Applicant’s signature______Date______

PLEASE Be sure you have filled out ALL INFORMATION.

IF A QUESTION DOES NOT APPLY ~ PLEASE WRITE “N/A”