Rental/Credit Application

Date:
Email:
Phone:
Name of Applicant:
Date of Birth:

Social Security:

Driver License:

Current Address:

City:

State:

ZIP:

How long have you lived at this location? (Y, M, D)

Name of Landlord:

Tel:

How long have you lived at prior location:

Prior Landlord:

Tel:

How many will be living in this unit?

Adults:

Children:

List Names:

Employer:

Occupation:

Current Salary: (US $)

For how long have you worked here: (Y. M, D)

Contact Person:

Tel:

 
Spouse Information
 

Name of Spouse:

Date of Birth:
 (MM/DD/YY)

Telephone:

Social Security:

Driver License:

 

 

Employer:

Occupation:

Salary: (US $)

How long have he/she worked here?
(Y. M, D)

Contact Person:

Tel:

 

Bank Information
 

Bank Name:

Branch:

Tel:

Address:

Checking Account Number:

 

Savings Account Number:

 

 

 

Personal/Credit References
 

Name:

Relationship:

Tel:

Name:

Relationship:

Tel:

Name:

Relationship:

Tel:

Credit Grantor:

Address:

Tel:

Credit Grantor:

Address:

Tel:

Credit Grantor:

Address:

Tel:

 
Other Information
 

Number of Vehicles:

Make Model:

Year:

Color:

Tag No.:

State:

Make Model:

Year:

Color:

Tag No.:

State:

Make Model:

 

 

Year:

Color:

Tag No.:

State:

 

Have You Ever??
Have you ever filed bankruptcy:


Yes No

If yes when:

(MM,DD,YY)

Been served an eviction notice or been asked to vacate a property?

Yes No

Willfully or intentionally refused to pay rent when due?

Yes No

When:

(MM,DD,YY)

Been sued for unlawful detainer:

Yes No

 

How were you referred to us?

 

Newspaper (Which one):

Realtor: (Name)

Other: (What, Who, Where)

 

Rental Unit Applied for:

Commencement Date:

Term:

Rent: