Rental Application



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1. Please fill out Entire application. Any ommissions may disqualify you as a potential tenant.
2. Submit to desired landlord(s).
3. Print and save your application. You may be asked to sign and fax or snail mail it to the landlord.
4. Cosigners - Fill out this application!

Fill in Landlord's Email Here:
Apartment Info
*Availability Date:
Address:
*Applicants phone # home:
Applicants phone # work:
Applicants email:
Number of Bedrooms:
Price Range:
Is there anything special we should know about you?

Applicant and all others who will reside at above property
What is the total Number of People who will reside in your unit?
	*First Name	*Last Name	M.	*Social Security #	*Date of Birth (mm/dd/yy)
1.
2.
3.
4.
5.
6.
7.

Your Current Rental Location
*Address:
*Town:
*State:
*Zip:
Unit #:
Length of time at this address:		Years Months
Reason for leaving:
*Current Landlord Name:
*Current Landlord Phone:

Your Previous Rental Location
Address:
Town:
State:
Zip:
Unit #:
Length of time at this address:	Years Months
Reason for leaving:
Landlord name:
Landlord phone:

Employment
	Employer:	Manager:	Phone:
1.
	How long employed?	Years	Months
2.
	How long employed?	Years	Months

Bank Information
Bank:
Credit Cards:	Visa Amex Mastercard Other

Do you have any Pet(s)?		Yes	No
	Type:
	Age:
	Size:

*Have you ever had eviction papers served to you, been evicted, or denied lease renewal?
Yes	No
Are you a Smoker?
Yes	No
*Have you Ever Been Arrested or Convicted of a crime?
Yes	No
*I authorize my credit to be checked subject to terms and conditions below:
Yes	No

Signature:	Date:

I warrant that the information supplied is true and correct and that I am at least 18 years of age. I have been informed that the owner/owner's agent is a member of the Strategic Information Resources, Inc. and that the owner/owner's agent may request a consumer credit report to evaluate my qualifications as a potential tenant. Owner/owner's agent is allowed to contract with Strategic Information Resources, Inc. to report any rent delinquency or eviction proceedings as well as check my credit from time to time. Owner/owner's agent warrants that any verifications are for the purposes of entering into a rental agreement or to guarantee a lease as a cosigner and further warrants that any information derived from credit reports or other sources will be kept confidential. Security deposit and first months rent are to be paid by cash or cashier's check False or intentional omission of requested information will result in automatic denial. Applications must be fully completed with names, phone numbers and addresses as requested above. Applicant's who submit incomplete information will not be given consideration.