TENANT APPLICATION
Property in which interested ______________________________
Applicant name _________________________ DOB __________
Social Security # ____________ Driver's License # ____________
Other resident _________________________ DOB __________
Social Security # ____________ Driver's License # ____________
Present address ______________________________ Own __ Rent __
City ____________________ State _________ Zip ____________
Landlord name ____________________ Address ____________________
Landlord phone ____________________ Current monthly rent __________
Tenancy began __________ Reason for moving _________________________
Applicant 1: Present employer ____________________ Phone __________
Employed as ____________________ Salary _______________
Other income $____________ Source _________________________
Credit card: Issuer ____________________ Acct. # ____________________
Bank ______________________________ Acct. # ____________________
Applicant 2: Present employer ____________________ Phone __________
Employed as ____________________ Salary _______________
Other income $____________ Source _________________________
Credit card: Issuer ____________________ Acct. # ____________________
Bank ______________________________ Acct. # ____________________
Automobile #1 make & model _______________ Year _____ Color _____
License # ____________________ State of Registry ____________________
Automobile #2 make & model _______________ Year _____ Color _____
License # ____________________ State of Registry ____________________
Nearest relative: Name _________________________ Relationship _____
Address _________________________ City __________ State/Zip __________
Phones: Home ____________________ Work ____________________
Other emergency contact: Name _________________ Relationship _____
Address _________________________ City __________ State/Zip __________
Phones: Home ____________________ Work ____________________
Has any civil judgement been entered against you for the collection of a debt in the past five (5) years? ....................................... Yes ___ No ___
Have you ever been evicted? .......................................... Yes ___ No ___
Do you have any water-filled furniture or do you intend to get any in the future? ..................................................................... Yes ___ No ___
Do you have any pets or do you intend to get any pets? Yes ___ No ___
Does anyone in this household smoke? .......................... Yes ___ No ___
Explain any “Yes” above (use extra sheet if necessary) _______________________________________________________________________
AUTHORIZATION TO VERIFY INFORMATION: The undersigned authorizes Landlord or Agent to verify the above information, including but not limited to obtaining a Credit Report. I hereby declare under penalty of perjury that the above information is true and correct.
Date _______________ Signature of applicant _________________________
Home phone _______________ Work phone _______________ E-mail _______________