
RENTAL APPLICATION
The management of this property supports Equal Housing Opportunity. No person shall be denied tenancy or otherwise
subjected to discrimination due to race, color, national origin, religion, sex, familial status, or physical or mental handicap.
PROPERTY NAME FOR APARTMENT NUMBER
APPLICANT PHONE NUMBER DESIRED MOVE-IN DATE
Last Name of Applicant First Name ________________________ Initial
Date of Birth Drivers License # State ______ Social Security #
Current Address City State _____ Zip _ ___ Lived There How Long?
Current Landlord’s Name (or Mortgage Company) Phone ____________ Monthly Payment $_____
Previous Landlord’s Name (if at above address less than 1 year) Phone
Names of Others to Occupy Apartment Relationship
Total Number to Occupy Apartment _____ Do You Have Pets? If Yes, Type and Weight
PRIMARY EMPLOYMENT
Employed By Position How Long There
Employment Address Phone
Supervisor’s Name How Many Hours per Week Monthly Salary
ADDITIONAL INCOME: Please explain source and include information to allow verification.
Name of Anyone Who Referred You to This Property _____________________________________ ___Phone _______ ______
How Did You Hear About Us: Newspaper Rental Magazine Drive-by/Signage Other_____________
Have you ever filed bankruptcy? yes ( ) no ( ) Date
Have you ever been evicted from an apartment? yes ( ) no ( ) Date
Have you ever been convicted of a felony? yes ( ) no ( ) Date
Have you ever used another social security number? yes ( ) no ( ) #
We perform thorough background checks on all applicants. Is there anything you wish to explain that we are going to discover?
In compliance with the FAIR CREDIT REPORTING ACT, this is to inform you that a credit investigation involving the statements made
on your application for residency at this apartment property is being initiated. If any information herein is false, the lease made on the
strength of this application may, at the option of the landlord, be terminated at any time. There is a non-refundable processing fee of
$25.00 for this service.
The signature below certifies that to the best of my knowledge all statements on the application are true and complete. I further
authorize the management to obtain credit reports, income verification, criminal background, rental history and any other
information needed to process this application.
Signature of Applicant _____________________________________________________ Date ________________________