RENTAL APPLICATION

APPLICANT_________________________________________ DATE OF BIRTH _____________________

SOCIAL SECURITY #___________________________________TELEPHONE #_______________________

EMAIL ADRESS ________________________________________________________________________

CURRENT ADDRESS_____________________________________________________________________________

LANDLORDS NAME____________________________________TELEPHONE #______________________

NAME OF EMPLOYER____________________________________________________________________________

ADDRESS OF EMPLOYMENT_________________________________________________________________________

TELEPHONE # OF EMPLOYER____________________________LENGTH OF EMPLOYMENT____________

POSITION HELD_____________________________________________INCOME_____________________________

C0-APPLICANT______________________________________DATE OF BIRTH_______________________

SOCIAL SECURITY #_____________________________ _____TELEPHONE #________________________

EMAIL ADDRESS _______________________________________________________________________

CURRENT ADDRESS_____________________________________________________________________________

LANDLORDS NAME___________________________________TELEPHONE #_______________________

NAME OF EMPLOYER____________________________________________________________________

ADDRESS OF EMPLOYMENT_________________________________________________________________________

TELEPHONE # OF EMPLOYER____________________________LENGTH OF EMPLOYMENT____________

POSITION HELD________________________________________________INCOME__________________________

PREVIOUS ADDRESS (1) _________________________________________________________________

PREVIOUS ADDRESS (2) _________________________________________________________________

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PERSONAL REFERENCE (1) ___________________________ __TELEPHONE#_______________________

ADDRESS____________________________________________RELATION_________________________

PERSONAL REFERENCE (2)___________________________ ___TELEPHONE#_______________________

ADDRESS____________________________________________RELATION_________________________

THE UNDERSIGNED APPLIES FOR RENT/LEASE AND REPRESENTS THAT THE PROPERTY WILL NOT BE USED

FOR ANY ILLEGAL OR RESTRICTED PURPOSE AND THAT ALL STATEMENTS MADE IN THIS APPLICATION
ARE TRUE AND FOR THE PURPOSE OF OBTAINING THE ABOVE MENTIONED RENT OR LEASE. VERIFICATION
MAY BE OBTAINED FROM ANY SOURCE NAMED IN THIS APPLTCATION OR FROM A RECOGNIZED CREDIT/
CRIMINAL
REPORTING AGENCY. THE ORIGINAL OR A COPY OF THIS APPLICATION MAY BE OBTAINED BY THE
RENTALL AGENT/LANDLORD EVEN IF THE RENT/LEASE IS NOT GRANTED. THE DECISION TO GRANT OR
DENYTHIS APPLICATION IS AT THE SOLE DISCRETION OF THE AGENT/LANDLORD.

APPLICANTS SIGNATURE______________________________________________DATE____________

CO- APPLICANTS SIGNATURE__________________________________________ DATE____________

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