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District of Columbia Rental Application Form

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District of Columbia Rental Application Form Page 2
District of Columbia Rental Application Form
©2008, The Greater Capital Area Association of REALTORS
®
, Inc.
This Recommended Form is property of the Greater Capital Area Association of REALTORS
®
, Inc. and is for use by
REALTOR® me
mbers only.
Previous editions of this For
m should be destroyed.
GCAAR # 1204 - Rental Application –MC & DC Page 2 of 4
2/2008
(Previously form # 1204)
Applicant's Name:
Birth Date: SS#: ______________________________________
Driver's License # or Government-Issued ID #: State: _______________________
Home Phone:________________________________ Temporary Local # (if applicable): _____________________________
Office Phone: Mobile Phone: _____________________________________________
Current Address:
Street City State Zip
Own Rent Years: Rent/Mortgage Payments: $
Present Landlord/Agent: Phone: _____________________________
Reason for moving: ____________________________________________________________________________________
List all previous addresses for the last five years including period of stay in each and the name and telephone number of Landlord/
Agent from whom you rented. (Use additional sheet if needed).
Previous Address:
Street City State Zip
Landlord/Agent's Name: Phone: __________________________
From (Date): ___________________To: Monthly Rent: $ _____________________________________
Previous Address:
Street City State Zip
Landlord/Agent's Name: Phone: ______________________________
From (Date): ___________________To: Monthly Rent: $ _____________________________________
Current Employer: _____________________________________________________________________________________
Position: How Long ___________________________
Address: ______________________________________________________________________________________________
Street City State Zip
Supervisor: Supervisor’s Phone: ___________________________
If employed less than one year with current employer, give previous employment information:
Previous Employer:
Position: How Long: Gross Income: $
Address:
Street City State Zip
Supervisor: Supervisor’s Phone: _________________________
IF EMPLOYER REFUSES to verify applicant’s employment by phone, it shall become the responsibility of the applicant to provide
immediate written confirmation of such information. If applicant is self-employed, attach copies for past two years of individual US
tax form 1040 and self- employment US tax schedule C.
CURRENT GROSS ANNUAL INCOME:
Base Pay: $
Overtime: $
Bonuses: $
Commissions: $
Dividends: $
Other: $
TOTAL: $
District of Columbia Rental Application Form