Application

MY RENTALS

| | | | | | |

APPLICATION

Property Name
Owner:
Applicant Full Name:
D.O.B.
Social Security:
Home Phone
Cell Phone
Work Phone
Drivers License and State
Current Address Street
City
State
Zip
Current Landlord
Landlord Phone #'s
How long at this address
Reason for Leaving
Previous Address
Previous Landlord
Previous Landlord Phone
How long at this address
Reason for leaving this address
Auto Make
Auto Model and Year
State/License Plate #
Present Employer
Position
Monthly Income
Employers Phone
How long at job
Other income source
Employers address
Pets/Size/Type
Have you or anyone living in home ever been party to an eviction?
Have you or anyone living in home ever been party to an unlawful detainer action? Explain
Has anyone that will be living in the house ever been convicted of a crime? Explain:
Bank Name
Account #
Checking or Savings
Personal Reference/Relationship/Phone#
Second Reference/Relationship/Phone #
Total # of adults to live in house/names
Names and relations of all other applicants
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, i understand that the landlord may terminate any rental agreement/lease entered into for any misrepresentations made above. I give landlord permission to run credit check as well as criminal background check. I give permission from current or previous landlords to release my rental history.
Signature
Received from applicant the non-refundable sum of $________ dollars to pay for tenant screening services.
If Married-Spouse Full Name
Spouse Social Security #
Spouse D.O.B.
Spouse Employer
Spouse employer address and phone number
Spouse position/income

If you would like to send the application online, you may pay the application fee with Pay Now.