RENTAL APPLICATION

 for:

Address of Property

NAME:    Social Security #:

ROOMMATE NAMES:

MOVE IN DATE:

EMAIL ADDRESS:Date of Birth:  

PRESENT ADDRESS:    PHONE:    WORK:

LANDLORDS NAME:    PHONE:

HOW LONG?    AMT. RENT PAID:    LENGTH OF LEASE:

EMPLOYER:    PHONE:  INCOME: 

JOB DESCRIPTION:    HOW LONG?:

PARENT:    PHONE:

CAR MAKE/YEAR:    DRV. LICENSE #:

Have you ever been evicted?    If yes, please explain

How many members in your household?:    Do you or anyone on your household smoke?:

Do you have any pets (dogs, cats, fish, birds, rodents, snakes, etc.)?    Describe:

BY ENTERING MY NAME BELOW I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER CREDIT REPORTS.

I agree that the Landlord may terminate any agreement entered into in reliance on any misstatement made above.  An application fee of $_____ has been submitted with this application and shall be applied towards the security deposit if the Landlord and Applicant enter into a lease agreement on above property.  The application fee will be refunded if Landlord determines this application unacceptable.  In the event that the Landlord determines the application to be acceptable and the Applicant does not enter into a lease agreement with the Landlord, the application fee is nonrefundable.

Applicant:    Date: