Rental Application Form

Rental Application

This information is sought to assure the most responsible tenants possible and to assist the management in case of emergencies. Your cooperation is appreciated.

Today's Date*Applicant's Name (last, first, middle initial)*Address (street, city, state, and zip code)*How long at present address? (years)*Phone Number*E-Mail Address*Name & Phone number of landlord or manager (if applicable)Have you ever been evicted?*

If yes, please explain:Have you even broken a rental agreement or lease contract?*

If yes, please explain:Have you ever been sued for non-payment of rent or damages to rental property?*

If yes, please explain:
Date of Birth*Driver's License #:*State of Issue:*

Present Employer*Employer's Address (street, city, state, and zip code):*Work Phone:*How Long Employeed?*Type of Work Performed*1st Emergency Contact Name:*1st Emergency Contact Address (street, city, state, and zip code):*1st Emergency Contact Phone:*1st Emergency Contact Relationship:*

How were you referred to us?*

Applicant acknowledges that all of the above statements are true and complete, and hereby authorizes verification of above information, references, and credit records. Applicant acknowledges that false information herein may constitute grounds for rejection of this application, termination of right of occupancy and/or forfeiture of deposits and may constitute a criminal offense under the laws of this state.*