Date
Rental Property Address
Full Name of Applicant(s)
Phone Number
Email
Rental History/Information
Present Address (House, City, State, Zip)
How Long at Current Address?
Current Rent Amount
Name and Phone of Current Landlord
Previous Rental History/Information
Previous Address (House, City, State, Zip)
How Long at Previous Address?
Rent Amount
Name and Phone of Previous Landlord
Employment
Current Employer
Position/Title
How Long?
Office Address
Supervisor Name
Supervisor Office Phone #
Current Salary
Income Sources. Please list your gross income during term of lease you are applying for.
Employment Gross Income
Other Adult Employment Gross Income
Other Income (Source and Amount)
Additional Rental Information
Do You Own Pets? Yes/No (If yes, name kind/breed and age. One-time $350 Non-refundable Pet Deposit Required)
Bank Name
What is your credit score?
What type of vehicle(s) do you drive?
What is your targeted move in date?
How many people will be living in the unit?
Any other information pertinent to your rental application?
The undersigned authorizes landlord, leasing agent, property management Company, and
representatives of the owner/landlord to contact the undersigned’s current or previous landlord, and current employer, and further, by a copy of this application, authorizes any said landlord, or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent, property management company or it representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from
various state governmental and private entities relative to the undersigned’s number of Children, employment, general health, financial and criminal history information.
By typing my name below, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By typing my name using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing.
Signature
Date Signed
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