Please complete all the information below. All applicants over the age of 18 must complete and sign their own application.
Applicant's full name____________________________Phone #______________DOB___________
Social Security #_______________Driver's License #______________State_______Exp._________
Current Address________________________________City________________State____Zip___________
Current Landlord's Name___________________________Landlord's Phone #__________________
How long at this address______Reason for leaving________________________________________
Previous Address________________________________City_________________State____Zip__________
Previous Landlord's Name__________________________________Phone #__________________
How long at this address________Reason for leaving______________________________________
Auto Yr______Make_________Model_______________State/License Plate #_________________
Present Employer________________________Position_________________Mo. Income_________
Phone #______________How long at job__________
Other income/source___________________________
Employer's Address_________________________________________Supervisor_______________________
Have you ever been party to an eviction? [ ] Yes [ ] No
Ever filed for bankruptcy?_________________________ When?____________________________
Ever been convicted of a felony? [ ] Yes [ ] No
Name of bank______________________Branch____________Type of Account________________
Name of bank______________________Branch____________Type of Account________________
Personal References
Name____________________Yrs. Known_____Relationship____________Phone #____________
Name____________________Yrs. Known_____Relationship____________Phone #____________
Name____________________Yrs. Known_____Relationship____________Phone #____________
Name and relations of all other applicants _______________________________________________
Total adults______Total children living with you under the age of 18______
Contact in Emergency _________________Address_____________________Phone #___________
Do any applicants or dependants smoke? [ ] Yes [ ] No
Type of pets and number of each type__________________________________________________
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.
Signature_________________________________________________Date___________________
Received from applicant the non-refundable sum of $__________________dollars to pay for tenant screening service and credit check..