RENTAL APPLICATION INFORMATION SHEET

 

Name:__________________________________________                                                                                           

Current Address:       _______________________________

___________________________________________________                         

Social Security No:  ____________________________________

Date of Birth: _________________________________________

                                                                                                                   

Number of years at current address: _____

Prior Address (if less than 2 years): _____________________

_____________________________________________________    

Home Phone: _______________________  

Work Phone:     _____________________

Cell Phone: ________________________

Email:___________________________________

                       

Current Place of Employment:         ___________________________  

 

Address: ___________________________________________________ 

 

                                                                                            

Position: _____________ Years employed at above: _____________

 

Employment Reference.  Name & Phone:

 ___________________________________________________________   

                                               

Previous Place of Employment (if less than 2 years at present job):

Address:____________________________________________________    

        

Position: _____________ Years employed at above: _____________

 

Employment Reference.  Name & Phone:

 

________________________________

                                                        

Current Landlord's Name & Phone:      

 

________________________________

 

 

Professional or Personal Reference.  Name & Phone: 

 

 

_________________________________________________

 

 

Savings and/or Checking  Account No.: 

__________________________________________________           

I CERTIFY that answers given herein are true and complete to

the best of my knowledge.  I authorize investigation of all

statements contained in this application for tenant screening

as may be necessary in arriving at a tenant decision, I

understand that the landlord may terminate any rental

agreement entered into for any misrepresentations made above.

 

Dated:   ________________, 20___.                         

 

 

 

_____________________________                                                                                                 

Applicant         

 

 

Received of the above applicant $50.00 as a non-refundable
application fee.

 

 

 _____________________

 Management