Rental Application

Select the rental property
How did you find the rental?
Your full name (F,M,L):
Is there a co-applicant?

Co-applicant must fill out a separate application.

Your previous or maiden name
Your E-mail
Home Phone
Work Phone
Mobile Phone
Social Security Number
Drivers License Number
Drivers License Country
Drivers License State
Date of Birth
Eye Color
Hair Color
Marital Status

Name all other persons who will occupy the property

1. Name
1. Relationship
1. Age
2. Name
2. Age
2. Relationship
3. Name
3. Age
3. Relationship
4. Name
4. Age
4. Relationship
Your Current Address
Landlord or Property Owner's Name
Day Phone
Night Phone
Mobile Phone
Move-in Date
Move-out Date
Rent $
Reason for Move
Previous Landlord E-mail(1)(1)
Your Previous Address
Previous Landlord or Property Owner's Name
Previous Landlord E-mail
Previous Landlord Day Phone
Previous Landlord Night Phone
Previous Landlord Mobile Phone
Previous Landlord Fax
Previous Move-in Date
Previous Move-out Date
Previous Rent $
Previous Reason for Move
Applicant’s Current Employer
Employer Address
Supervisor Name
Supervisor E-mail
Supervisor Day Phone
Supervisor Fax
Start Date
Gross Monthly Income

If Applicant is self-employed, Landlord may require one or more previous year’s tax return attested by a CPA, attorney, or other tax professional

Previous Employer
Previous Employer Address
Previous Supervisor Name
Previous Supervisor E-mail
Previous Supervisor Day Phone
Previous Supervisor Fax
Previous Start Date
Previous Gross Monthly Income
Previous Position
Describe other income you want considered

List all vehicles to be parked on the Property:

Type       Year       Make       Model       License/State       Mo.Pymnt.

Car 1
Car 2
Car 3
Will any pets (dogs, cats, birds, reptiles, fish, and other pets) be kept on the Property?

If yes, list all pets to be kept on the Property:

Pet 1

Pet 1 Type & Breed
Pet 1 Name
Pet 1 Color
Pet 1 Weight
Pet 1 Age in Years
Pet 1 Gender
Pet 1 Neutered?
Pet 1 Declawed
Pet 1 Rabies Shots Current

Pet 2

Pet 2 Type & Breed
Pet 2 Name
Pet 2 Color
Pet 2 Weight
Pet 2 Age in Years
Pet 2 Gender
Pet 2 Neutered?
Pet 2 Declawed?
Pet 2 Rabies Shots Current?

Pet 3

Pet 3 Type & Breed
Pet 3 Name
Pet 3 Color
Pet 3 Weight
Pet 3 Age in Years
Pet 3 Gender
Pet 3 Neutered?
Pet 3 Declawed?
Pet 3 Rabies Shots Current

Pet 4

Pet 4 Type & Breed
Pet 4 Name
Pet 4 Color
Pet 4 Weight
Pet 4 Age in Years
Pet 4 Gender
Pet 4 Neutered?
Pet 4 Declawed?
Pet 4 Rabies Shots Current
Will any waterbeds or water-filled furniture be on the Property?
Does anyone who will occupy the Property smoke?
Will you maintain renter’s insurance?
Are you or your spouse, even if separated, in military?
If yes, is the military person serving under orders limiting the military person's stay to one year or less?
Have you ever been evicted?
Have you ever breached a lease or rental agreement?
Have you ever filed for bankruptcy
Have you ever lost property in a foreclosure?
Have you ever had any credit problems (including any outstanding debt (e.g., student loans or medical bills)), slow-pays, or delinquencies?
Have you ever been convicted of a crime?
Is any occupant a registered sex offender?
Are there any criminal matters pending against any occupant?
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