Residential Rental Application APPLICANT INFORMATIONName(Required) First Last Date of Birth(Required) Social Security #(Required) Phone(Required)Tenant Email Address(Required) Address of Rental Property(Required) Street Address Address Line 2 City ZIP Code Desired date of occupancy(Required) Desired length of occupancy(Required) RENTAL HISTORYPresent Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long at present address(Required) Home Phone No(Required)Current rent payment(Required) Reason for moving(Required) Landlord's Name(Required) Landlord's Phone No(Required)Prior Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long at prior address Current rent payment - Prior Address Reason for moving - Prior Address Landlord's Name - Prior Address Landlord's Phone No - Prior AddressADDITIONAL OCCUPANT INFORMATION (if applicable)Name of Spouse First Last Date of Birth - Spouse Social Security# Phone #NAMES OF OTHER TENANTS, INCLUDING CHILDREN AND ANYONE WHO WILL LIVE WITH YOU (EVEN ON A TEMPORARY BASIS)No. of occupants:(Required)1234Adults: Children: Name First Last Is a: Adult Child Child's Age: Present Address: Home Phone No.:How long at present address: Relationship: Occupation: School: TENANT 2Name First Last Is a: Adult Child Child's Age: Present Address: Home Phone No.:How long at present address: Relationship: Occupation: School: TENANT 3Name First Last Is a: Adult Child Child's Age: Present Address: Home Phone No.:How long at present address: Relationship: Occupation: School: TENANT 4Name First Last Is a: Adult Child Child's Age: Present Address: Home Phone No.:How long at present address: Relationship: Occupation: School: IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY MAY NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.VEHICLESVehicle Model: Year: License No.: Vehicle Model: Year: License No.: PETSDo you have pets(Required) Yes No Name: Type/Breed: Size: Name: Type/Breed: Size: MISCELLANEOUSWater bed:(Required) Yes No Smokers:(Required) Yes No Do you own real estate? Yes No If yes, please explain where: Have you ever been evicted from any rental premises?(Required) Yes No If yes, please explain where: Have you ever willfully and intentionally refused to pay rent when due?(Required) Yes No If yes, please explain where: Have you ever been convicted of a felony?(Required) Yes No If yes, please explain where: CURRENT EMPLOYER:Employer:(Required) Business Phone:Position: How long: Supervisor: Annual Income: Other Income sources: Gov't assistance $ Other $ Child support/Alimony$ ADDITIONAL OCCUPANT’S EMPLOYER:Employer: Business Phone:Position: How long: Supervisor: Annual Income: Other Income sources: Gov't assistance $ Other $ Child support/Alimony$ NEAREST RELATIVE NOT LIVING WITH YOU:Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Relationship:(Required) Home Phone No.:(Required)CREDIT/PROFESSIONAL REFERENCES (Non-related):Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone No.:(Required)Relationship:(Required) Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone No.:(Required)Relationship:(Required) Landlord does not discriminate against any applicant on the basis of an illegal purpose including, race, color, religion, sex, national origin, age, disability or family status. Such discrimination as the sole basis of refusal to rent is illegal throughout the United States. Local or State laws may provide additional protected classes from discrimination. You can call the U.S. Department of Housing and Urban Development (HUD) at 1-800-424-8590 to ask questions about discrimination. I represent that the information provided in this Application is true and correct to the best of my knowledge. I understand that this Application is not a rental agreement and that this Application does not create any obligation on the Landlord. I understand that the information provided might be used by Landlord or Landlord’s Property Manager, to determine whether to accept this Application. I authorize Landlord or Landlord’s property manager to verify all the information given in this application, including banking and personal references and employment information provided. I also authorize Landlord or Landlord’s Property Manager to perform a credit check and a criminal history check. I consent to the release of information relating to my credit and the information provided in this application. Applicant's Signature(Required)Date(Required) Spouse/Co-Applicant's SignatureDate CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
