Residential Rental Application
Residential Rental Application
Application #
Rental Unit Address
Legal Name of Applicant ? First
Middle
Applicant Information Last
Application Date: _______/_______/_______
Date of Birth
Current Address
City
State & Zip
SSN Employer
Primary Occupation
Monthly Income Mobile Phone $
Employer Address
Time on Job
Supervisor Name & Phone
Vehicle Make, Model, Year
Current Landlord Prior Landlord
Landlord Phone Prior Landlord Phone
Current Rent $ Pets? If Yes, Type/Breed
Other Phone
Vehicle License Plate Years at Current Home How Many & Size
Name of Co Applicant ? First
Middle
Co - Applicant Information Last
Current Address
SSN
Primary Occupation
Employer
City
Monthly Income Mobile Phone $
Employer Address
Time on Job
Supervisor Name & Phone
Vehicle Make, Model, Year
Date of Birth State & Zip Other Phone
Vehicle License Plate
Current Landlord Prior Landlord
Landlord Phone Prior Landlord Phone
Current Rent $ Pets? If Yes, Type/Breed
Years at Current Home How Many & Size
Other Occupants (Name, Relationship, Age)
1.
3.
2.
Applicant's References (No Relatives)
Name
Relationship
1.
Phone
4.
Co-Applicant's References (No Relatives
Name
Relationship
2.
Applicant's Bank References Checking
Co-Applicant's Bank References Checking
Savings
Savings
Credit Cards/Other
Credit Cards/Other
SparkRental ? 2017
Rental Application
Phone Page 1 of 2
Residential Rental Application
Your Credit History Has any household member declared bankruptcy in the past seven (7) years? Has any household member ever been evicted from a rental residence? Has any household member had two or more late rent payments in the last year? Has any household member been convicted of a felony in the last 10 years?
Yes___________ No____________ Yes___________ No____________ Yes___________ No____________ Yes___________ No____________
Additional Sources of Income If you have other sources of income for us to consider, please list income, source, and person (banker, employer, etc.) who we may contact to verify. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it.
Income Type
Monthly Amount
1. 2. 3.
Additional Sources of Income Additional Disclosures & Information If you have other information you'd like us to consider, please include it here.
Authorization & Acknowledgment
I/we hereby warrant that all representations set forth above are true. To verify the above statements, I/we direct those persons named in this application to ask questions about me or us. I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner, manager, brokerage, finder, agent or leasing company.
Application Fee: I/we agree to pay $___________ for the background check as permitted by state law, and acknowledge that it's nonrefundable.
___________________________________________________ Name (Please Print)
___________________________________________________________
Signature
Date
___________________________________________________ Name (Please Print)
___________________________________________________________
Signature
Date
Applicant: Please Do Not Write Below (For Office Use Only)
Holding Deposit: $____________ Date:__________ Security Deposit: $_____________ Date:________ Leasing Agent:__________________
Credit, Criminal & Eviction Reports Requested Date:_____________ Review Date:__________ Leasing Agent Notes:
Approved Y____ N_____
SparkRental ? 2017
Rental Application
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