Rental Application s2

RENTAL APPLICATION Complete all information below. All applicants over the age of 18 must complete and sign their own application

1st Applicant Name ______Phone ______DOB ______Social Security: ______Drivers License ______State ____Exp______

2nd Applicant Name ______Phone ______DOB ______Social Security: ______Drivers License ______State ____Exp______

Occupation Number of persons who will occupy house/unit ______CHILDREN: Name ______Age ______Name ______Age ______Name ______Age ______In case of emergency, please notify: Name ______Phone ______

RESIDENCE HISTORY

Current Address ______City ______State _____Zip:______Current Landlords Name: ______Phone______How long at this address ______Reason for leaving ______

Previous Address: ______City ______Zip______State ____ Previous Landlords Name: ______Phone: ______How long at this address ______Reason for leaving ______EMPLOYMENT AND BANK REFERENCES

Present Employer______Position______Phone # ______How long at Job: ______Salary______Other Income: ______Position ______Salary ______

Spouse Present Employer______Position______Phone # ______How long at Job: ______Salary______Other Income: ______Position ______Salary ______Bank Name of bank ______Branch ______Type of account ______Name of bank ______Branch ______Type of account ______

Personal References Name: ______Yrs. Known ____ Relationship ______Phone #______Cell ______Name: ______Yrs. Known ____ Relationship ______Phone #______Cell ______Name: ______Yrs. Known ____ Relationship ______Phone #______Cell ______

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 entered into for any misrepresentation made above.

Signature ______Date ______

Received from applicant the non-refundable sum of $______dollars to pay for tenant screening service.