PDF RENTAL/CREDIT APPLICATION
[Pages:3]RENTAL/CREDIT APPLICATION
PERSONAL INFORMATION
Name of Applicant_________________________________________________ Telephone ______________________________ Date ________________ e-mail address ________________________________________ Initial if over 18 years of age_______ Social Sec. No. ____________________________________ Driver's License No._____________________________________ Present Street Address____________________________________________________________________________________ City _____________________________________________________________ State __________________ Zip ____________ Name of Landlord __________________________________________________ Telephone _____________________________ Prior Street Address_______________________________________________________________________________________ City _____________________________________________________________ State __________________ Zip ____________ Prior Landlord _____________________________________________________ Telephone _____________________________ How long have you lived at present address? _______________ How long have you lived at prior address? _________________ How many will be living in this unit? Adults____________ Children____________ Pets___________ Weight of pets___________ Employer ___________________________________ Occupation ____________________ Current Salary _________________ How long? ___________ Contact Person ________________________________ Telephone ____________________________
SPOUSE INFORMATION
Name of Spouse ___________________________________________________ Telephone ____________________________ Social Sec. No. ____________________________________ Driver's License No._____________________________________ Employer ________________________________ Occupation ____________________ Current Salary ____________________ How long? ___________ Contact Person _______________________________ Telephone _____________________________
BANK INFORMATION
Bank Name ______________________________________ Branch __________ Telephone ____________________________ Address________________________________________________________________________________________________ Checking Account No. ________________________________ Savings Account No. ___________________________________
PERSONAL REFERENCES
NAME
RELATIONSHIP
TELEPHONE
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
CREDIT REFERENCES
CREDIT GRANTOR
ADDRESS
TELEPHONE
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
_______________________________________ ___________________________________ ___________________________
OTHER INFORMATION
PERSONAL / CREDIT REFERENCES
Number of vehicles (including company cars)___________________________________________________________________
Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______
Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______
Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______
HAVE YOU EVER:
Filed for bankruptcy? No Yes If yes, when?______________________________________________________
Been served an eviction notice or been asked to vacate a property you were renting?
No Yes
If yes,
when?______________________________ why?____________________________________________________
Willfully or intentionally refused to pay rent when due? No Yes
If yes, when? ________________________
why? _______________________________________________________________________________________
How were you referred to us? Newspaper (name) ____________________________ Realtor (name) __________________
Friend (name)_____________________________ Sign (location)__________________ Other ___________________
Rental Unit applied for_____________________________________________________________________________________
Commencement date __________________________ Term _____________________ Rent/Month _______________________
Page 2
AUTHORIZATION TO RELEASE INFORMATION
Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the lease or Rental Agreement between parties.
APPLICATION FEE ? Applicant has submitted the sum of $_____________ which is a non-refundable payment for a credit check and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount. In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing application as furnished by applicant. This Application must be signed before it can be processed by Management.
________________________________________________ Applicant's Signature
_______________________________________________ Date
FOR OFFICE USE ONLY ? DO NOT WRITE BELOW
ACKNOWLEDGEMENT
Application Verification
Person Contacted
Remarks
Present Landlord Previous Landlord Applicant's Employment Bank Reference (1) Reference (2) Reference (3) Other
Driver's License/ID
Credit Bureau
Verification completed by _____________________________ Date______________________________________________ Remarks___________________________________________ __________________________________________________
Date
Monies Received
Description
Amount
Application Fee
__________________________________________________
Security Deposit
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
THIS APPLICATION
__________________________________________________
Is Approved
FOR OFFICE USE ONLY ? DO NOT WRITE BELOW
Is Not Approved
Page 3
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