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RESIDENTIAL RENTAL APPLICATION
Fax: 1.800.641.1577 or Email: truemandarren@yahoo.com
Tenant’s Name:__________________________________________________________
Social Security No. _______-______-_________ Driver’s License No.______________
Home Phone: (______)________________________Cell #_(______)_______________
Date of Birth____________________ Email Address (Optional):___________________
Co-Tenant’s Name: ____________________________________________________
Social Security No. _______-______-_________ Driver’s License No.______________
Date of Birth:___________________ Email Address (Optional):____________________
Other Tenants Name(s) Not On Lease: __________________________________ ____________________________________
__________________________________ ____________________________________
__________________________________ ____________________________________
Current Address(es):
Tenant Landlord or Agent’s Name: ________________________Ph #_______________
Address: ________________________________________________________________
Resided from ___________ to ___________ Monthly Rent Paid____________________
Reason for seeking another place: ____________________________________________
Please complete below if resided less than 2yrs at the above address
Landlord or Agent’s Name: ______________________________Ph #_______________
Address: ________________________________________________________________
Resided from ___________ to ___________ Monthly Rent Paid____________________
Reason for seeking another place:____________________________________________
Co-Tenant: Landlord or Agent’s Name: ______________________Ph #_____________
Address: ________________________________________________________________
Resided from ___________ to ___________ Monthly Rent Paid____________________
Reason for seeking another place:____________________________________________
Please complete below if resided less than 2yrs at the above address
Co-Tenant: Landlord or Agent’s Name: ______________________Ph #_____________
Address: ________________________________________________________________
Resided from ___________ to ___________ Monthly Rent Paid____________________
Reason for moving:________________________________________________________
Do you have a pet? Yes/No How many?___________
Please describe type(s) of pet(s)
____________________________________________________________________________________________________________
Automobile(s):
Tenant:
Make(s)____________________Model(s)__________________Color(s)_____________
License Plate Number(s)________________________
Co-Tenant:
Make(s)____________________Model(s)__________________Color(s)_____________
License Plate Number(s)________________________
Tenant’s Occupation History: Current Occupation:_______________________________________________
Employer: _______________________________Date Hired: ______________________
Address: ________________________________________________________________
Supervisor’s Name: _______________________ Phone: (_______)_________________
Monthly Gross Income:_____________Self-Employed: No/Yes, dba________________
(If employed less than 2 year with present employer, please provide previous employer.)
Previous Employer: _______________________________________________________
Address: ________________________________________________________________
Position: ________________________________Date Hired: ______________________
Supervisor’s Name: _______________________ Phone: (_______)_________________
Salary: _________________________________________________________________
Co-Tenant’s Occupation History:
Current occupation:_____________________________________________
Employer: _______________________________Date Hired: ______________________
Address: ________________________________________________________________
Supervisor’s Name: _______________________ Phone: (_______)_________________
Monthly Gross Income:_____________Self-Employed: No/Yes, dba________________
(If employed less than 2 year with present employer, please provide previous employer.)
Previous Employer:_______________________________________________________
Address: _______________________________________________________________
Position:________________________________ Date Hired:_______________________
Supervisor’s Name: ________________________Phone: (_______)_________________
Monthly Gross Income:_____________Self-Employed: No/Yes, dba________________
Tenant/Co-Tenant References:
Bank: ___________________________Account Number:________________________
Address: _________________________________Phone: (_______)________________
Checking Account No. _______________________Balance $_____________________
Savings Account No. ________________________Balance $_____________________
Credit Reference: ___________________________Acct Number:__________________
Address: __________________________________Amount Owed:$_________________
Current Status: Open/Closed
Bank Loans: No/Yes If yes, the Bank Name___________________________________
Address: ________________________________________________________________
Account #:________________Loan Balance:$___________Due Monthly:$___________
Tenant Personal Reference:______________________Length of acquaintance:________
Address:_____________________________________Phone:______________________
Occupation:_________________________What Relation?________________________
Co-Tenant Personal Reference:__________________Length of Acquaintance:________
Address:_____________________________________Phone:______________________
Occupation:_________________________What Relation?________________________
Questions:
Tenant:
Have you ever or are you now filing a petition for BANKRUPTCY? No / Yes
Have you ever been evicted from any tenancy or had any unlawful detainer or eviction proceedings instituted against you or brought on your behalf? No / Yes
I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AND DO HEREBY AUTHORIZE THE UNDERSIGNED TO VERIFY ANY AND ALL REFERENCES AND TO OBTAIN A COPY OF MY CREDIT REPORT. I further understand that any representation above that proves to be false will immediately terminate any agreement entered to which the landlord has detrimentally relied. Consent to the use of the above information was voluntary, known and given with no restrictions.
Date:____________________Tenant:_________________________________________
Co-Tenant:
Have you ever or are you now filing a petition for BANKRUPTCY? No / Yes
Have you ever been evicted from any tenancy or had any unlawful detainer or eviction proceedings instituted against you or brought on your behalf? No / Yes
I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT, AND DO HEREBY AUTHORIZE THE UNDERSIGNED TO VERIFY ANY AND ALL REFERENCES AND TO OBTAIN A COPY OF MY CREDIT REPORT. I further understand that any representation above that proves to be false will immediately terminate any agreement entered to which the landlord has detrimentally relied. Consent to the use of the above information was voluntary, known and given with no restrictions.
Date:____________________Tenant:_________________________________________
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