RENTAL APPLICATION
Address of Property applying for __________________________________________
Name of Applicant_______________________________ S.S.#_____________ DOB _________
Current Address _______________________________________________________ Phone#________
Permanent Address_____________________________________________________ Phone#________
Email_________________________________
Do you smoke?_____________ Number of Children_________________ Ages__________
Present Employer____________________________ Phone# ____________ How long?_____
Address____________________________________ Supervisor’s Name ____________________
Position ___________________________________ Gross Monthly Salary__________________
Credit References:
Institution Name __________________________________________________ Phone#________
Current Landlord: _________________________________________________ Phone#________
Personal References (non-family):
Name / Address ____________________________________________________ Phone#________
Name / Address ____________________________________________________ Phone#________
In Case of Emergency:
Name of Closest Relative ____________________________________________ Relationship________
Address __________________________________________________________ Phone#________
A security deposit will be required at the signing of the lease to reserve the property for the period of the lease agreement, and will be refunded at the conclusion of the lease, less itemized deductions, if any. Are you prepared to do this? Y N
Applicant represents that above information is true and correct, and hereby authorize verification of references given.
Applicant’s signature _____________________________ Date_______