RENTAL APPLICATION - Landlord Association
RENTAL APPLICATION
Today's Date Property address Monthly rent
Date of anticipated move in Security deposit
Pet deposit
Applicant Full name of applicant Present Address Telephone number (home) D.O.B.
social security #
(work) Driver's license
Applicant's employment Name of present employer Address Position Supervisor's name Name of previous employer Address Position Supervisor's name Other sources of income
Date started Date started
Monthly income phone
Monthly income phone
Spouse Full name of spouse Present Address Telephone number (home) D.O.B.
social security #
(work) Driver's license
Spouse's employment Name of present employer Address Position Supervisor's name Name of previous employer Address Position Supervisor's name Other sources of income
Date started Date started
Monthly income phone
Monthly income phone
Present Landlord or mortgage company Present Landlord or mortgage company Telephone number (home) Monthly rent or mortgage payment
Date of move-in
(work)
Date of move-out
Previous Landlord or mortgage company Previous Landlord or mortgage company Telephone number (home) Monthly rent or mortgage payment
Date of move-in
(work)
Date of move-out
Personal References Name Address Name Address
phone phone
Emergency In case of emergency contact Relationship
phone
Occupants List all occupants
Pets List any pets: type List any pets: type
breed breed
weight
age
weight
age
Vehicles List vehicles to be parked at premises:
make
model
year
make
model
year
Credit/Criminal History Bank name Address Checking account number
phone
List all credit obligations with minimum monthly payment:
Have any of the occupants listed above ever been: convicted of a felony?
received deferred adjudication for a
felony?
been evicted?
broken a lease?
declared bankruptcy?
The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby
authorizes the National Association of Independent Landlords to verify all of the information in this application and obtain
credit reports on the above listed applicant and/or applicant's. If applicant or applicant's spouse has given any false
information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's
time and expenses in processing this application. Applicant shall give Landlord a nonrefundable application fee in the amount
of $
.
Signature of applicant Signature of Spouse Signature of Landlord or Landlord's agent
Date Date Date
................
................
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