HTML Preview Blank Residential Lease Application page number 1.
Received on _________________ (date) at __________ (time)
(TAR-2003) 1-1-12 Page 1 of 4
RESIDENTIAL LEASE APPLICATION
USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS® IS NOT AUTHORIZED.
©Texas Association of REALTORS®, Inc. 2012
Each occupant and co-applicant 18 years or older must submit a separate application.
Property Address:
Anticipated: Move-in Date: Monthly Rent: $ Security Deposit: $
Applicant was referred to Landlord by:
Real estate agent (
name
) (
phone
)
Newspaper Sign Internet Other
Applicant’s name (first, middle, last)
Is there a co-applicant? yes no
If yes, co-applicant must submit a separate application.
Applicant’s former last name (maiden or married)
E-mail Home Phone
Work Phone Mobile/Pager
Soc. Sec. No. Driver License No. in (
state
)
Date of Birth Height Weight Eye Color
Hair Color Marital Status Citizenship (
country
)
Emergency Contact: (Do not insert the name of an occupant or co-applicant.)
Name:
Address:
Phone: E-mail:
Name all other persons who will occupy the Property:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Applicant’s Current Address: Apt. No.
(
city, state, zip
)
Landlord’s Name: Email:
Phone:
Day:
__________________
Nt:
_________________
Mb:
__________________
Fax:
________________
Date Moved-In Move-Out Date Rent $
Reason for move:
Applicant’s Previous Address: Apt. No.
(
city, state, zip
)
Previous Landlord’s Name: Email:
Phone:
Day:
__________________
Nt:
_________________
Mb:
__________________
Fax:
________________
Date Moved-In Date Moved-Out Rent $
Reason for move: