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_______