Rental Application

RENTAL APPLICATION

* Each adult (18 or older) must fill out a separate application

* There is a non-refundable fee of $50/adult to apply, due upon signing leas

First Name*	Last Name*	Birth Date*	Cell Phone*	Social Security*	Drivers License*
Any Other Names You’ve Used In The Past	Home Phone*	Email*
All Other Proposed Occupants	Birth Date	Relationship To Applicant

EMPLOYMENT HISTORY
	Current Employer*	Previous Employer	Prior Employer
Employed By*	Current Employer*	Previous Employer	Prior Employer
Address*	Current Employer*	Previous Employer	Prior Employer
Employer’s Phone*	Current Employer*	Previous Employer	Prior Employer
Occupation*	Current Employer*	Previous Employer	Prior Employer
Name of Supervisor*	Current Employer*	Previous Employer	Prior Employer
Monthly Gross Pay*	Current Employer*	Previous Employer	Prior Employer
Dates of Employment - Start Date*	Current Employer*	Previous Employer	Prior Employer
Dates of Employment - End Date*	Current Employer*	Previous Employer	Prior Employer

CREDIT HISTORY
	Bank/Institution Name	Balance On Deposit or Balance Owed
Savings Account	Bank/Institution Name	Balance On Deposit or Balance Owed
Checking Account	Bank/Institution Name	Balance On Deposit or Balance Owed
Credit Card	Bank/Institution Name	Balance On Deposit or Balance Owed
Auto Loan	Bank/Institution Name	Balance On Deposit or Balance Owed

VEHICLES (Include vehicles belonging to other proposed occupants also)
Make*	Model*	Color*	Year*	License Plate*
Make	Model	Color	Year	License Plate

REFERENCES & EMERGENCY CONTACTS
	Doctor	Lawyer	Nearest Relative Living Elsewhere*
Name*	Doctor	Lawyer	Nearest Relative Living Elsewhere*
Street Address*	Doctor	Lawyer	Nearest Relative Living Elsewhere*
City*	Doctor	Lawyer	Nearest Relative Living Elsewhere*
State & Zip*	Doctor	Lawyer	Nearest Relative Living Elsewhere*
Phone Number*	Doctor	Lawyer	Nearest Relative Living Elsewhere*
By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you. Furthermore, if you abandon the residence for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.