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Rental Application
Please PRINT dark and clearly in black ink
One person per application
I hereby make application to rent to be used as a dwelling unit.
Your Information
ÜFull legal name: Phone number:
( )
FirstMiddleLast
ÜSocial security number: ÜDate of birth:
modayyear
ÜDriver’s license #: ÜState issued:
Current Address
ÜAddress: ÜApt #:
ÜCity: ÜState: ÜZip:
Landlord’s Name:
Landlord’s Phone:
(
)
Reason For Moving:
Monthly Rent: $
When did you move in
out
Do you rent this residenceo Yeso No
Is your name on the leaseo Yeso No
Have you given written notice to leaveo Yeso No
Previous Address
ÜAddress: ÜApt #:
ÜCity: ÜState: ÜZip:
Landlord’s Name:
Landlord’s Phone:
(
)
Reason For Moving:
Monthly Rent: $
When did you move in
out
Did you rent this residenceo Yeso No
Was your name on the leaseo Yeso No
Did you give written notice to leaveo Yeso No
Your Current Employment
ÜName of employer: Your position:
ÜAddress: Your start date:
ÜCity:
ÜState: ÜZip: Employer’s phone number:
(
)
Your supervisor: Monthly Salary:
o Gross o Net
Your Personal History
Have you ever…
been asked to move out or evictedo Yeso Nobroken a rental agreement or leaseo Yeso No
declared bankruptcyo Yeso Nobeen sued for nonpayment of rento Yeso No
been sued for damage to a rental unito Yeso Nobeen convicted of a felonyo Yeso No
Your Vehicle
Make: Model: Color:
License Plate Number: State:
Other Residents: List the legal names and ages of ALL other people who will occupy this unit.
Names & Ages
In Case of Emergency:
Emergency Contact: Phone:
Address: City: State:
Please Read Carefully
I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be
cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or
Landlord’s agents to verify the information on the application. Verification or re-verification of any information contained in the application will be retained by
Landlord. I hereby authorize Tenant Data Services Inc. to obtain information about me, including, but not limited to, this application, my credit, my tenant history,
my check writing history, any court records and/or my criminal record, and I hereby authorize & instruct any entity or person contacted by Tenant Data Services
Inc. or the Landlord or Landlord’s agents to release such information to them. Upon request, Landlord, Landlord’s agents, or Tenant Data will provide the name &
phone number of the source of the information used in the verification process.