Rental application template
\ RENTAL APPLICATION
ANDREWS PROPERTIES
Pat @ Home Office & Fax: {Insert fax} Elton {Insert number} Tim {Insert number}
PLEASE FILL OUT ALL INFORMATION. IF A QUESTION DOES NOT APPLY ~ PLEASE WRITE “ N/A”
This application is made to rent the premises known as: ________________________________________________________
Desired date of occupancy: ________________________________
Desired length of occupancy:_______________________________
The monthly rent shall be $ ________________________________
The security deposit shall be $______________________________
The applicant understands that the landlord may perform a credit check to verify the applicant’s references and credit
history in connection with the processing of this rental application or for collection purposes should they be necessary.
Full Name: ________________________________________________________________________________________
Present address: _________________________________________________City__________________ State___________
Phone #___________________________ Date of Birth _______________________ SS # ________-______-_________
Driver’s license number: _____________________________
Make of Car ___________________________________________License Plate # __________________________________
Spouse’s Full Name:________________________________________________________________________________
Present address: _________________________________________________City__________________ State___________
Phone #___________________________ Date of Birth ________________________ SS # ________-______-________
Driver’s license __________________________________
Make of Car ___________________________________________License Plate # __________________________________
Residence History
How long have you lived at your present address:______________ Own or Rent ________ Monthly Payment_________________
Address: ________________________________________________City___________________________ State__________
Landlord’s name: __________________________________________________ Phone #____________________________
How long did you live there: ________________Was your full security deposit returned? _________# of late payments ___________
Reason for moving: ______________________________________________________________________________________
Are you related to or a friend of your current landlord?_________________________________________________________________
Please complete the following on the residence prior to your current residence:
Landlords name: _________________________________________________Phone #______________________________
Address: ________________________________________________City___________________________ State__________
When did you lice at this address? ________________________________to______________________________________
Was your full security deposit returned? _________# of late payments ___________ Monthly payment______________
Reason for moving: _________________________________________________________________________________
Are you related to or a friend of this landlord?______________________________________________________________
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