RESIDENTIAL RENTAL APPLICATION

RENTAL PROPERTY

APPLICANT'S PERSONAL INFORMATION

Name:*

Email Address:*

Home Phone:*

Alternative Phone:*

Date of Birth::*

DESIRED MOVE-IN DATE:*

CO-APPLICANT’S PERSONAL INFORMATION (if applicable)

Name:*

Email Address:*

Home Phone:*

Alternative Phone:*

Date of Birth::*

OTHER OCCUPANTS’ INFORMATION (if applicable)

Name::*

Relation to Applicant:*

Date of Birth:*

Name::*

Relation to Applicant:*

Date of Birth:*

Rental History

Current Address:*

How long have you been residing at this address?*

Monthly Rent:*

Landlord's Name:*

Landlord's Contact Number::*

Reason(s) for leaving this property::*

Previous Address:*

How long have you been residing at this address?*

Monthly Rent:*

Landlord's Name:*

Landlord's Contact Number::*

Reason(s) for leaving this property::*

Have you ever been evicted from a rental residence?*

Yes No

Have you missed two or more rental payments in the past 12 months?*

Yes No

Have you ever refused to pay rent when due?*

Yes No

If you have answered YES to any of the above, please state your reasons and/or circumstances:*

EMPLOYMENT DETAILS

Current Employment

Employment Status:*

Current Employer:*

Supervisor's Name:*

Phone:*

Job Title:*

Date Hired:*

Monthly Income:$*

Other Sources of Income:*

Previous Employment

Employment Status:*

Current Employer:*

Supervisor's Name:*

Phone:*

Job Title:*

Date Hired:*

Monthly Income:$*

PROOF OF INCOME

The applicant is required to attach proof of their income to this rental application form. Acceptable documentation includes pay stubs, employer’s letter/certificate, bank statements or copies of the previous year’s tax return.

CREDIT HISTORY AND BACKGROUND CHECK AUTHORIZATION

Have you declared bankruptcy in the past seven (7) years?*

Yes No

Do you consent to a credit check?*

Yes No

Is there anything that we may find in our credit check that you want to comment on?*

CRIMINAL BACKGROUND CHECK AUTHORIZATION

Do you consent to a criminal check?*

Yes No

Is there anything that we may find in our criminal check that you want to comment on?*

ADDITIONAL INFORMATION

The Landlord requires a pet deposit in the amount of $350.00.*

I. Do you own a pet?*

Yes No

If YES, please describe the pet:*

II. SMOKING

The Landlord does not allow smoking of cigarettes in the rental property.

III. WATERBEDS

The Landlord does not allow the use of waterbeds on the premises.

I declare that the information I have provided is true and correct, and contain no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies.

The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of application.

Applicant Signature				Date

Co-Applicant's Signature				Date