Rental ApplicationPROPERTY APPLYING FOR:Personal InformationFull NameBirth DateSocial Security #Driver’s License # / StatePhone #Email Roommates / Other OccupantsListFull Name - First, Middle, LastBirth DateRelationship to You Add RemoveRental History Please list your three most recent addresses or from past five years.Current AddressStreet Address / Unit No.City, State, ZipHow long at this addressManager/Owner NameManager/Owner PhonePrevious AddressStreet Address / Unit No.City, State, ZipHow long at this addressManager/Owner NameManager/Owner Phone Add RemoveIncome Please list employment from past five years & other sources of income. Employment HistoryCurrent EmployerEmployed byPositionDates of Employment (From..To)Monthly IncomeName of SupervisorSupervisor’s Phone #Address - Street, City, State, ZipPrevious EmployerEmployed byPositionDates of Employment (From..To)Monthly IncomeName of SupervisorSupervisor’s Phone #Address - Street, City, State, Zip Add RemoveOther Income SourcesListTypeMonthly IncomeName of ProviderAddress - Street, City, State, ZipPhone # Add RemoveEmergency Contact InformationNamePhone #RelationshipAddress - Street, City, State, ZipVehiclesVehiclesMake & ModeYearColorPlate #State Add RemoveOther InformationHave you ever been evicted? Yes No If yes, when & whyHave you ever been convicted of a felony? Yes No If yes, when & whyHave you ever filed for bankruptcy? Yes No If yes, when & whyDo you currently smoke? Yes No Do you have any pets? Yes No If Yes, please list each Type, Breed & Approx. WeightHow did you learn about us?Agreement & Consent to Background Check I believe that the statements I have made are true and correct. I hereby authorize the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history and all Unlawful Detainers. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or in part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund.SignatureDate MM slash DD slash YYYY CO-SIGNER By signing this form, Co-signer authorizes the landlord to perform a credit check or background check, if necessary. Co-signer forms are accepted at the landlord’s discretion, and a co-signer form does not in any way guarantee an applicant a rental unit. Failure to fully complete a requested co-signer form may result in the landlord refusing a rental application. Personal InformationFull NameBirth DateSocial Security #Driver’s License # / StatePhone #Email Current Employer Name / Phone #Co-signing forFull NameUnit Applied forIt is hereby agreed that the aforementioned Co-signer will assume any and all responsibilities and/or obligations of the Leaseholder’s share of expenses if the Leaseholder cannot or will not oblige. This Co-signer Agreement will remain in force throughout the entire term of the Leaseholder’s tenancy, even if the tenancy is extended and/or changed in its terms.SignatureDate MM slash DD slash YYYY
