Rental/Credit Application Form

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RENTAL/CREDIT APPLICATION
PERSONAL
I
I
N
N
F
F
O
O
R
R
M
M
A
A
T
T
I
I
O
O
N
N
Name of Applicant_________________________________________________ Telephone ______________________________
Date ________________ e-mail address ________________________________________ Initial if over 18 years of age_______
Social Sec. No. ____________________________________ Driver’s License No._____________________________________
Present Street Address____________________________________________________________________________________
City _____________________________________________________________ State __________________ Zip ____________
Name of Landlord __________________________________________________ Telephone _____________________________
Prior Street Address_______________________________________________________________________________________
City _____________________________________________________________ State __________________ Zip ____________
Prior Landlord _____________________________________________________ Telephone _____________________________
How long have you lived at present address? _______________ How long have you lived at prior address? _________________
How many will be living in this unit? Adults____________ Children____________ Pets___________ Weight of pets___________
Employer ___________________________________ Occupation ____________________ Current Salary _________________
How long? ___________ Contact Person ________________________________ Telephone ____________________________
SPOUSE INFORMATION
Name of Spouse ___________________________________________________ Telephone ____________________________
Social Sec. No. ____________________________________ Driver’s License No._____________________________________
Employer ________________________________ Occupation ____________________ Current Salary ____________________
How long? ___________ Contact Person _______________________________ Telephone _____________________________
BANK INFORMATION
Bank Name ______________________________________ Branch __________ Telephone ____________________________
Address________________________________________________________________________________________________
Checking Account No. ________________________________ Savings Account No. ___________________________________
RENTAL/CREDIT APPLICATION
PERSONAL
I
I
N
N
F
F
O
O
R
R
M
M
A
A
T
T
I
I
O
O
N
N
Name of Applicant_________________________________________________ Telephone ______________________________
Date ________________ e-mail address ________________________________________ Initial if over 18 years of age_______
Social Sec. No. ____________________________________ Driver’s License No._____________________________________
Present Street Address____________________________________________________________________________________
City _____________________________________________________________ State __________________ Zip ____________
Name of Landlord __________________________________________________ Telephone _____________________________
Prior Street Address_______________________________________________________________________________________
City _____________________________________________________________ State __________________ Zip ____________
Prior Landlord _____________________________________________________ Telephone _____________________________
How long have you lived at present address? _______________ How long have you lived at prior address? _________________
How many will be living in this unit? Adults____________ Children____________ Pets___________ Weight of pets___________
Employer ___________________________________ Occupation ____________________ Current Salary _________________
How long? ___________ Contact Person ________________________________ Telephone ____________________________
SPOUSE INFORMATION
Name of Spouse ___________________________________________________ Telephone ____________________________
Social Sec. No. ____________________________________ Driver’s License No._____________________________________
Employer ________________________________ Occupation ____________________ Current Salary ____________________
How long? ___________ Contact Person _______________________________ Telephone _____________________________
BANK INFORMATION
Bank Name ______________________________________ Branch __________ Telephone ____________________________
Address________________________________________________________________________________________________
Checking Account No. ________________________________ Savings Account No. ___________________________________
PERSONAL REFERENCES
NAME
RELATIONSHIP
TELEPHONE
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
CREDIT REFERENCES
CREDIT GRANTOR
ADDRESS
TELEPHONE
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
OTHER INFORMATION
PERSONAL / CREDIT REFERENCES
Number of vehicles (including company cars)___________________________________________________________________
Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______
Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______
Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______
HAVE YOU EVER:


Filed for bankruptcy?
No
Yes
If yes, when?______________________________________________________


Been served an eviction notice or been asked to vacate a property you were renting?
No
Yes
If yes,
when?______________________________ why?____________________________________________________


Willfully or intentionally refused to pay rent when due?
No
Yes
If yes, when? ________________________
why? _______________________________________________________________________________________


How were you referred to us?
Newspaper (name) ____________________________
Realtor (name) __________________



Other ___________________
Friend (name)_____________________________
Sign (location)__________________
Rental Unit applied for_____________________________________________________________________________________
Commencement date __________________________ Term _____________________ Rent/Month _______________________
Page 2
AUTHORIZATION TO RELEASE INFORMATION
Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by
any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and
released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON
THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the
lease or Rental Agreement between parties.
APPLICATION FEE – Applicant has submitted the sum of $_____________ which is a non-refundable payment for a credit check
and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount.
In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing
application as furnished by applicant. This Application must be signed before it can be processed by Management.
________________________________________________
_______________________________________________
Applicant’s Signature
Date
FOR OFFICE USE ONLY – DO NOT WRITE BELOW
ACKNOWLEDGEMENT
Application Verification
Person Contacted
Remarks

Present Landlord

Previous Landlord

Applicant’s Employment

Bank

Reference (1)

Reference (2)

Reference (3)

Other


Driver’s License/ID
Credit Bureau
Verification completed by _____________________________
Monies Received
Date______________________________________________
Date
Description
Amount
Remarks___________________________________________
Application Fee
__________________________________________________
__________________________________________________
Security Deposit
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
THIS APPLICATION


__________________________________________________
Is Approved
Is Not Approved
FOR OFFICE USE ONLY – DO NOT WRITE BELOW
Page 3

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