Rental Application

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Application for rent

Date Of Application *

What type of Accommodation are you interested in? *

Have you been referred by a current or previous tenant? *

If you were referred by a tenant, please provide the name:

PERSONAL INFORMATION - APPLICANT 1

First Name *

Last Name *

Home Phone:

Cellular Phone:

Work Phone:

Occupation: *

Age *

Email Address *

PERSONAL INFORMATION - APPLICANT 2

Not Applicable

First Name Second Applicant

Last Name Second Applicant

Home Phone:

Cellular Phone:

Work Phone:

Occupation:

Age

Email Address

OTHER OCCUPANTS - CHILD 1 (UNDER 18)

Not Applicable

First & Last Names:

Relationship to the Applicant (s):

OTHER OCCUPANTS - CHILD 2 (UNDER 18)

Not Applicable

First & Last Names:

Relationship to the Applicant (s):

OTHER OCCUPANTS - CHILD 3 (UNDER 18)

Not Applicable

First & Last Names:

Relationship to the Applicant (s):

OTHER OCCUPANTS - CHILD 4 (UNDER 18)

Not Applicable

First & Last Names:

Relationship to the Applicant (s):

PRIMARY SOURCE OF INCOME:

Please Select the primary source of income: *

OCCUPATION - APPLICANT 1:

Employer:

Contact Phone Number:

Number of Years employed:

Salary or Wages (Monthly):

Occupation or position held:

OCCUPATION - APPLICANT 2:

Not Applicable

Employer:

Contact Phone Number:

Number of Years employed:

Salary or Wages (Monthly):

Occupation or position held:

CURRENT LANDLORD INFO - APPLICANT 1

Landlord Name:

Email Address

Phone Number

Length of Tenancy:

Current Rent (monthly):

Was proper notice given to vacate property?

Are you expecting the damage deposit returned?

CURRENT LANDLORD INFO - APPLICANT 2

Not Applicable

Landlord Name:

Email Address

Phone Number

Length of Tenancy:

Current Rent (monthly):

Was proper notice given to vacate property?

Are you expecting the damage deposit returned?

PREVIOUS LANDLORD INFO - APPLICANT 1

Provide Landlord Name - Contact Number & Length of Tenancy: *

PREVIOUS LANDLORD INFO - APPLICANT 2

Not Applicable

Provide Landlord Name - Contact Number & Length of Tenancy:

GENERAL INFORMATION:

Do you have pets? *

Are any of your utilities in arrears? - Applicant 1: *

Are any of your utilities in arrears? - Applicant 2:

Do you smoke? - Applicant 1: *

Do you smoke? - Applicant 2:

ACCURACY AND AUTHORIZATION

I have answered all the questions in the application truthfully. I understand that misleading information will result in my application being voided and/or may result in my immediate eviction. *

Yes

I authorize the verification of all information provided in this application and also allow my current and previous landlords to share all information related to my current and previous tenancies. *

Yes

SIGNATURE - APPLICANT 1:

In order to sign, please type your full name below *

Please re-type your full name below to confirm: *

Signature Date: *

SIGNATURE - APPLICANT 2:

Not Applicable

In order to sign, please type your full name below

Please re-type your full name below to confirm:

Signature Date:

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