Free Residential Rental Application

Residential Rental Application
Application Date: _________

Landlord/Property Manager:                          _______________________________

(Name and Title)

Landlord/Property Manager Address:                        _____________________________________                                                                                              (No., Street, City, State, Zip)

Rental Property Address:                               _____________________________________

(No., Street, City, State, Zip)

Applicant Information:

______________________________________        ________________________

(First, Middle, Last)                                                    (Maiden Name – if applicable)

 

D.O.B.: _______________________                                                SSN: ________________________

Present Address:         _________________________________      _______________________

(No., Street, City, State & Zip)                      Move In/Move Out Date

Martial Status: ______

Spouse Information:

______________________________________        ________________________

(First, Middle, Last)                                                    (Maiden Name – if applicable)

D.O.B.: _______________________                                                SSN: ________________________

Present Address:         _________________________________      _______________________

(If different than           (No., Street, City, State & Zip)                      Move In/Move Out Date

above)

Emergency Contact Information:

_________________________________      ______________

(Name and Contact information)                    (Relationship)

Dependent Information:

No. of children living with you? _____

Name: ______________________                 Relationship: ____________  Age: _____

Residential History:

Previous Address 1:    _________________________________      _______________________

(No., Street, City, State & Zip)                      Move In/Move Out Date

Name of Property Manager or Landlord: ____________      Contact No.: __________________

Reason for Moving: ____________________________________________________________

Applicant Employment Information:

Name of Present Employer:                _______________________________________________

Address of Present Employer:            _______________________________________________

(No., Street, City, State & Zip)

Position/Title:  _________________              Salary: __________ per  __ month __  year

Dates of Employment: _____________________________

Spouse  Employment Information:

Name of Present Employer:                _______________________________________________

Address of Present Employer:            _______________________________________________

(No., Street, City, State & Zip)

Position/Title:  _________________              Salary: __________ per  __ month __  year

Dates of Employment: _____________________________

Other Sources of Income:

Source                                                            Amount

___________________                      _______

Financial Information:

Name & Address of Bank or Credit Union                Account No.                           Balance

____________________________           ____________              ______

Personal References:

Name              Address                      Phone No.                  Relationship               Years Known

______________________________________________________________________________

Pet Information:

How many pets do you own? ______

Species: _________ Breed: _______             Weight: ________      House-Broken: ________

_______________________

Applicant’s Signature/Date