APPLICATION FOR RENT

 

 

Name:  ___________________________________

 

Social Security #:  __________________________

 

Phone:  ______________          Address:  _____________________________

 

How Long?  ____

 

Landlord:  _________________________, Phone:  _________________

 

Rent:  ___________________________ ($________)

 

Previous Address:  ______________________________

 

Landlord:  _________________________, Phone:  _________________

 

Previous Rent:  ___________________________ $________

 

How Long?  ____

 

Pets?  _________                        How many, what kind? ______________________________

 

Smoker?  _______

 

List names of each person who will live here:

____________________________________________________________________________________________________________________________________________

Work Information

 

Occupation:  ____________, Present Employer:  ______________________________

 

How Long? _____

 

Supervisor:  ____________________________

 

His/Her phone?  ______________

 

Previous employer:  __________________________

 

Supervisor there:  ____________________________

 

Automobile Information

 

Car make:  _________________ Model:  ________________ Year:  ______________

** No commercial vehicles or trucks of any kind may be kept at the premises or on the streets near the premises.

 

*** The above statements are accurate.  By signing this application, I authorize reference disclosure for purposes of leasing the property at the address listed above.

 

 

Signature:  ___________________________                         Date:  ____________