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Texas Rental Application Form

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Texas Rental Application Form
Texas Rental Application Form
Received on _________________ (date) at __________ (time)
(TAR-2003) 10-16-07 Page 1 of 4
RESIDENTIAL LEASE APPLICATION
Each occupant and co-applicant 18 years or older must submit a separate application.
Property Address:
Anticipated: Move-in Date: Monthly Rent: $ Security Deposit: $
Applicant was referred to Landlord by:
Real estate agent (name) (phone)
Newspaper Sign Internet Other
Applicant’s name (first, middle, last)
Is there a co-applicant yes no If yes, co-applicant must submit a separate application.
Applicant’s former last name (maiden or married)
E-mail Home Phone
Work Phone Mobile/Pager
Soc. Sec. No. Driver License No. in (state)
Date of Birth Height Weight Eye Color
Hair Color Marital Status Citizenship (country)
Emergency Contact: Name:
Address:
Phone: E-mail:
Name all other persons who will occupy the Property:
Name
: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Applicant’s Current Address: Apt. No.
(city, state, zip)
Landlord’s Name: Email:
Phone:Day:__________________Nt:_________________Mb:__________________Fax:________________
Date Moved-In Move-Out Date Rent $
Reason for move:
Applicant’s Previous Address: Apt. No.
(city, state, zip)
Previous Landlord’s Name: Email:
Phone:Day:__________________Nt:_________________Mb:__________________Fax:________________
Date Moved-In Date Moved-Out Rent $
Reason for move:
Applicant’s Current Employer:
Address: (street, city, state, zip)
Supervisor’s Name: Phone: Fax:
E-mail:
Start Date: Gross Monthly Income: $ Position:
Texas Rental Application Form
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