Rental Application
CREDIT AND PERSONAL INFORMATION
TENANT
Name
Social Sec #
Home #
Driv Lic #
State
Exp Date
Date of Birth
Work #
Pres Address
Years
Owner
Tel #
Prev Address
Years
Owner
Tel #
Auto: Make
Model
Year
Color
Lic #
CO-TENANT
Name
Social Sec #
Home #
Driv Lic #
State
Exp Date
Date of Birth
Work #
Pres Address
Years
Owner
Tel #
Prev Address
Years
Owner
Tel #
Auto: Make
Model
Year
Color
Lic #
OTHER OCCUPANTS
Name
Age
Relationship
Name
Age
Relationship
PETS
Kind
Type
Color
Weight
Name
ID Tag #
Other
How Many
EMPLOYMENT
TENANT
Employer1
Address
Phone
Type
Position
Time With
Yrs
Mo
Supervisor
Income/Mo
Employer2
Address
Phone
Type
Position
Time With
Yrs
Mo
Supervisor
Income/Mo
CO-TENANT
Employer1
Address
Phone
Type
Position
Time With
Yrs
Mo
Supervisor
Income/Mo
Employer2
Address
Phone
Type
Position
Time With
Yrs
Mo
Supervisor
Income/Mo
FINANCIAL
T/CT
Account #
Bank
Address
Checking
Date Open
Savings
Date Open
Visa, MC, AE, Ex
Max
$
Visa, MC, AE, Ex
Max
$
Charge Accnt
Balance
$
PERSONAL
T/CT
Personal Reference
Address
City State
Association
Phone
,
,
Nearest Relative
Address
City State
Relationship
Phone
,
,
Have you ever:
a) been evicted?
b) filed bankruptcy?
c) had judgment against you?
I declare under penalty of purjury that the above information is true and authorize the owner to verify its validity and obtain a credit report. I acknowledge that the owner may terminate any agreement entered into in reliance on any false information given above.
Tenant:
Date:
Co-Tenant:
Date: