RENTAL APPLICATION
APPLICANT/OCCUPANTS INFORMATION
Expected Date of Occupancy _______________ Application Date: ____________________
Monthly Rental Rate: _____________________ Apt. #__________
Name of Applicant_______________________ Date of Birth________________________
Social Security # ________________________ Driver's License/ State ID ______________
Present Address: ________________________ City & State Zip______________________
Telephone #1 ___________________________ Telephone #2________________________
Name of Spouse _________________________ Date of Birth________________________
Spouse Social Security #__________________ Driver's License/ State ID ______________
CURRENT EMPLOYER
Name of Employer_________________________ Monthly income_____________________
Address of Employer _______________________ Position____________________________
Business Telephone________________________ How long you have held job____________
IF YOUR INCOME IS LESS THAN 3X YOUR RENT, PLEASE PROVIDE YOUR CURRENT/LAST LANDLORD’S CONTACT INFORMATION SO THAT WE CAN VERIFY YOUR TIMELY PAYMENT OF RENT.
LANDLORD: __________________ CONTACT INFO: _____________________
PREVIOUS EMPLOYER IF YOU ARE NOT EMPLOYED….
Name of Employer_________________________ SOURCE OF INCOME: ______________________
Length of time at position___________________ AMOUNT OF INCOME: _____________________
Position Held_____________________________
SPOUSE'S EMPLOYMENT (complete only if spouse's income is to be considered)
Name of Employer_________________________ Salary per______________________________
Address of Employer _______________________ Position________________________________
Business Telephone________________________ Length of employment: ____________________
SPOUSE’S PREVIOUS EMPLOYER DO YOU HAVE PETS? YES NO
Name of Employer__________________________ TYPE: _______________________________
Position__________________________________ AGE: ________ WEIGHT: ____________
Length of employment: ______________________ NAME: ______________________________
INVOLVED IN A RENTAL ASSISTANCE PROGRAM? YES NO APPLIED
NAME OF PROGRAM: _________________________ AMOUNT OF ASSISTANCE PROVIDED: ________
OTHER PERSONS WHO WILL OCCUPY THIS APARTMENT WITH YOU
(Each lessee & occupant over 18 years old must submit a separate application, credit & reference check)
Name/ Relationship_________________________ Birth date___________________________
Name/ Relationship_________________________ Birth date___________________________
REFERENCES
Name: ___________________________________ Name: _____________________________
Relationship: ______________________________ Relationship: _______________________
Address___________________________________ Address____________________________
Telephone_________________________________ Telephone__________________________
Applicant has deposited herewith the sum of Three hundred, fifty dollars ($350), receipt of which is hereby acknowledged. Fifty dollars ($50) shall be used as an application fee & is nonrefundable. The remaining $300 is a non-interest bearing deposit (& not rental payment) to be applied to resident's total security deposit & refunded as hereinafter provided in the lease agreement. In the event the application is approved & applicant fails or refuses to enter into the contemplated lease, owner shall retain the said deposit to cover the cost of taking & processing this application and removing the premises from the market as liquidated damages and holding same for applicant. In the event this application is disapproved or for any other reason for which the owner is responsible the lease agreement is not consummated, this deposit will be returned to the applicant.
This application is made with the understanding that it is subject to acceptance by the owner and subject to execution by an officer/agent of the owner and delivery of lease covering said premises. Please allow a minimum of 24 hours to process your application for both credit and character references.
The above information is correct to the best of my knowledge. I have no object to inquiries for the purposes of verification of the above statement. It is understood that the above information will be held strictly confidential.
APPLICANT: ___________________________________ DATE_______________________
APPLICANT’S SPOUSE: ___________________________ DATE_______________________
HOW DID YOU HEAR ABOUT US? IF SOMEONE REFERRED YOU, WE’D LIKE TO THANK THEM! _____________________________________________________________