Application For Rental
Each co-applicant over 18 must submit a separate application.
Spouses may submit a joint application.
This Application for Rental is requested to assist the Landlord in connection with the lease of his/her property. Your cooperation is
appreciated. This information will be kept in confidence and used only in relation to the lease agreement and in case of emergencies.
Please complete fully.
Date:____________ Property address:________________________________ Move-in date:____________
App. fee $___________________ Rent $___________________ Deposit $___________________
How were you referred? (check one) ____Rental agency or locator service (name)_____________________________
____Friend ____Rental guide (name)____________________ ____Newspaper (name)___________________
Stopped by ____Other (please explain)________________________________________________________________
Full name (as it appears on driver's license or ID card)
Phone # (hm)________________ (wk)_______________
Street address (as it appears on driver's license or ID card)
Driver's license or ID card # and state________________
Former last names (maiden and married)________________
Social Security #_________________________________
Birthdate___________ Height________ Weight________
Sex________ Eye color__________ Hair color_________
Marital Status (check one) single________ married_______
divorced________ widowed_________ separated________
List all residences for at least the last 2 years (start with current
City, State, Zip___________________________________
Move-in date_____________Move-out date_____________