HTML Preview Printable Rental Application page number 1.
PLEASE PRINT REV 9.1
RENTAL APPLICATION
• Each adult (18 or older) must fill out a separate application
• There is a non-refundable fee of $20/adult to apply
First Middle Last Birth Date Social Security # Driver’s License #
Any Other Names You’ve Used In The Past Home Phone Cell Phone
All Other Proposed Occupants Birth Date Relationship To Applicant
RENTAL/RESIDENCE HISTORY
Current Residence Previous Residence Prior Residence
Street Address
City
State & Zip
Last Rent Amount Paid
Owner/Manager
and Phone Number
Reason for leaving
Is/Was rent paid in full?
Did you give notice?
Were you asked to
move?
Name(s) in which your
utilities are now billed:
From/To From/To From/To
Dates of Residency
EMPLOYMENT HISTORY
Current Employment Previous Employment Prior Employment
Employed By
Address
Employer’s Phone
Occupation
Name of Supervisor
Monthly Gross Pay
From/To From/To From/To
Dates of Employment
CREDIT HISTORY
Bank/Institution Name Balance On Deposit or Balance Owed
Savings Account
Checking Account
Credit Card
Auto Loan
VEHICLES (Include vehicles belonging to other proposed occupants also)
Make Model Color Year License Plate