Rent To Own Inc.

RENTAL APPLICATION FORM

Name Co-renter
Address
NUMBER & STREET CITY PROVINCE POSTAL CODE HOW LONG

Phone Landlord Phone Rent

Previous Address
NUMBER & STREET CITY PROVINCE POSTAL CODE HOW LONG

RENTER INFORMATION
Dr. Lic. Sin
Bank Loans
Credit Cards Birthdate

EMPLOYMENT STATUS
Employer Address
Phone Ext
Position Supervisor
How Long Gross Monthly Income Additonal Income

CO-RENTER INFORMATION
Dr. Lic. Sin
Bank Loans
Credit Cards Birthdate

EMPLOYMENT STATUS
Employer Address
Phone Ext
Position Supervisor
How Long Gross Monthly Income Additonal Income
REFERENCES
Name
1 Address
Relationship
Phone
NUMBER & STREET CITY PROVINCE POSTAL CODE

Name
2 Address
Relationship
Phone
NUMBER & STREET CITY PROVINCE POSTAL CODE

Name
3 Address
Relationship
Phone
NUMBER & STREET CITY PROVINCE POSTAL CODE

Name
4 Address
Relationship
Phone
NUMBER & STREET CITY PROVINCE POSTAL CODE

5 Name
Address
Relationship
Phone
NUMBER & STREET CITY PROVINCE POSTAL CODE

Signature Signature Date

Submit su

The undersigned agrees that a personal investigation may conducted