Rental/Credit Application

Date *
Property Applying for: *
Interviewed By

PERSONAL INFORMATION

Full Name *
Social Security *
Birth Date *
Phone *
Drivers License #/State *
Email
Present Address *
City/State/Zip *
Dates lived at address *
Rent $ *
Utilities you paid *
Landlord *
Phone *
Reason for leaving? *
Prior Address
City/State/Zip
Dates lived at prior address
Reason for Leaving?
Prior Landlord
Phone

How many will be living in this unit?

Adults *
Children *
Name(s) and Relation
Current Employer *
Occupation *
Current Salary *
Dates Employed at this job *
Supervisor *
Telephone *
Other Income List Here (child support, disability, etc)
Previous Employer
Occupation
Current Salary
Dates Employed at this job
Supervisor
Telephone

2ND TENANT INFORMATION

Full Name
Social Security
Birth Date
Phone
Drivers License #/State
Email
Employer
Occupation
Current Salary
Dates Employed at this job
Supervisor
Telephone
Other Income List Here (child support, disability, etc)
Previous Employer
Occupation
Current Salary
Dates Employed at this job
Supervisor
Telephone

BANK/FINANCIAL/CREDIT CARD INFORMATION

Checking's or Savings?

If so, which Bank/Institution:

Credit Card #1:
Balance: $
Average Monthly Payments: $
Credit Card #2:
Balance: $
Average Monthly Payments: $

Loans:

Type of Loan
Name of Creditor
Amount Owed
Monthly Payments

Other Major Obligations (Child Support, Hospital Bills, Rent to Own, etc)

Type
Payee
Amount Owed
Monthly Payments

EMERGENCY CONTACT INFORMATION & PERSONAL/CREDIT REFERENCES

Name
Phone #
Relationship
Address - Street, City, State, Zip

References:

Name:

Relationship:

Telephone:

Reference #1

Reference #2

Reference #3

OTHER INFORMATION

Vehicle Make & Model

Year

Color

Plate #

State

HAVE YOU EVER

1: Been served an eviction notice or been asked to vacate a property you were renting? *
When and Why? *
2: Been convicted of a felony? *
When and What Felony *
3: Filed for bankruptcy? *
How many times and when? *
4: Willfully or intentionally refused to pay rent when due? *
When and Why? *
5: Been sued? *
When and Why? *
6: Sued someone else? *
When and Why? *
7: Does anyone currently smoke or vape? *
8: Do you have any pets? *
what kind and how many? *
9: Do you have any water-filled furniture you want to have in the rental property? *
Explain What *
10: How were you referred to us? *
What date do you want the lease to begin? *
Will you have both 1st month rent plus deposit? *
Any reason you can't establish an electric account? *
Explain Why *

Agreement & Consent to Background Check

Signature: *
Date: *