APPLICATION FOR LEASE OR RENT
Landlord/Lessor: ___________________ Date of Application: _________________ Monthly Rent: ______________
We hereby apply to lease or rent property at:_____________________________________________________________
Applicant's Name:
Date of Birth: ___________________________________ | Social Security #: | |
Driver's License #: | ||
Present Telephone #: | ||
Co-Applicant's Name:
Marital Status: __________________________________ | Social Security #: | |
Driver's License #: | ||
Present Telephone #: | ||
Present Address: _______________________________________________ | Length of Occupancy: | |
Reason for Leaving:
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Present Landlord: _________________________________ Address: ________________________________________ Phone : _________________________________________ | Have eviction proceedings ever been filed against you? Yes or No Explain: ________________________________________ | |
List any children or other occupants of premises: | Total # of occupants: ________________ | |
Name: | Age | Relationship: |
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Do you have any Pets? Yes or No | What kind and how many? | |
List Automobiles of all occupants: Make & Model | Year/ Color License #: | |
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List your history of employment. Employer Name: | Address: Phone #: | |
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List your total Income: | Annual Salary: Other Income: | |
Applicant: |
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Co-Applicant: |
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Other: |
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References/Creditors/Bank: | Phone #: Account # | |
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Please list (3) local personal references: Name | Phone #: Type of Reference: | |
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Consent to Credit Check: The applicants hereby authorize the landlord to order and review my/our credit and criminal history and investigate the accuracy of the information contained in the application. I/We further authorize all banks, employers, creditors, credit card companies, references, and any and all other persons to provide to Landlord any and all information concerning my/our credit. By your signature heron, you agree that the information disclosed by you herein is true, complete and accurate to the best of your knowledge, and you agree that the information disclosed by you herein is material to the potential Lessor's decision with respect to granting or denying your application to enter into a lease.
Applicant Signature: | Date: |
Co-Applicant Signature: | Date: |
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