BASIC INFO

LEASE APPLICATION

A Separate Form Required for Each Applicant 18 yrs or Older

Name

Home Phone

Mobile Phone

Email

Drivers License Number

Drivers License State

Vehicle Make

Vehicle Model

Vehicle Year

OCCUPANTS

Additional Occupants

List Everyone, Including Children, Who Will Live with You

Name

RENTAL HISTORY

First Time Renter?

Yes

No

Current Housing Situation for the Last Five Years

Current Housing

Current Address

Apt, suite, etc.

Country

City

State

Zip code

Move In Date

When Did You Move Into Your Current Address?

Current Rent

Security Deposit

Landlord's Name

Landlord/Manager's Phone

Previous Addresses

Previous Address

Apt, suite, etc.

Country

City

State

Zip code

Move In Date

When Did You Move Into Your Previous Address?

Previous Rent

Security Deposit

Previous Landlord's Name

Landlord/Manager's Phone

Previous Address

Apt, suite, etc.

Country

City

State

Zip code

Move In Date

When Did You Move Into Your Previous Address?

Previous Rent

Security Deposit

Previous Landlord's Name

Landlord/Manager's Phone

EMPLOYMENT

Employment History

Are You Self-Employed

Yes

No

Please Upload Previous Years Tax Return

Please Upload 2nd Previous Years Tax Return

Current Employer

Employer's Address

Apt, suite, etc.

Country

City

State

Zip code

Employer's Phone

Supervisor's Name

Supervisor's Phone

Start Date

End Date

Position/Title

Reason for Leaving

Previous Employment

Previous Employer

Employer's Address

Apt, suite, etc.

Country

City

State

Zip code

Employer's Phone

Supervisor's Name

Supervisor's Phone

Start Date

End Date

Position/Title

Reason for leaving:

Previous Employer

Employer's Address

Apt, suite, etc.

Country

City

State

Zip code

Employer's Phone

Supervisor's Name

Supervisor's Phone

Start Date

End Date

Position/Title

Reason for leaving:

FINANCIALS

Gross Monthly Employment Income

before deductions

Do You Have Additional Sources of Income?

Yes

No

Source

Amount

Additional Income - 2

Source of Additional Income

Amount

Additional Income -3

Source of Additional Income

Amount

BANKING INFORMATION

Savings

Name of Bank/Institution for Savings Account

Savings Balance

Checking

Name of Bank/Institution Checking Account

Checking Balance

Money Market / Other

Name of Bank/Institution Money Market / Other

Money Market / Other Balance

LOANS

Loan Type

Creditor

Amount Owed

Monthly Payment

Loan Type

Creditor

Amount Owed

Monthly Payment

Loan Type

Creditor

Amount Owed

Monthly Payment

Loan Type

Creditor

Amount Owed

Monthly Payment

OTHER MAJOR OBLIGATIONS

Obligation Type

Payee

Amount Owed

Monthly Payment

Obligation Type

Payee

Amount Owed

Monthly Payment

Obligation Type

Payee

Amount Owed

Monthly Payment

Obligation Type

Payee

Amount Owed

Monthly Payment

MISC

Please Describe the Type and Number of Pets You Wish to Have in the Rental Property:

Breed

Weight

lbs

Do You Smoke

Yes

No

HAVE YOU EVER?

Filed for Bankruptcy?

Yes

No

How Many Times?

Been Sued

Yes

No

Number

Sued Someone Else?

Yes

No

How Many Times?

Been Evicted?

Yes

No

How Many Times?

Explain any "Yes" answers above

REFERENCES

Personal Reference Name

Relationship

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Personal Reference Name

Relationship

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Emergency Contact Name

Relationship

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone

Where Did You Find Out About the Vacancy/Property?

Authorization

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any material false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, current and previous landlords .

Signature

Reset Signature

Date