Rental Application

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

Applicants full name______Phone #______DOB______

Social Security #______Drivers License #______State______Exp.______

Current Address______City______State______Zip______

Current Landlords Name______Landlords Phone #______

How long at this address______Reason for leaving______

Previous Address______City______State______Zip______

Previous Landlords Name______Phone #______

How long at this address______Reason for leaving______

Auto Yr______Make______Model______State/License Plate #______

Present Employer______Position______Mo. Income______

Phone #______How long at job______Other income/source______

Employers Address______City______State______

Number and type of Pets______Have you ever been party to an eviction? [ ] Yes [ ] No

Name of bank______Branch______Type of Account______

Personal References Name______Yrs. Known____Relationship______Phone #______

Name______Yrs. Known____Relationship______Phone #______

Total number of adults______Total number of children living with you under the age of 18______

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 entered into for any misrepresentations made above.

Signature______Date______

Received from applicant the non-refundable sum of $____dollars to pay for tenant screening service from A.C.B. Accurate Credit Bureau Phone 512 285 6078 Fax 512 285 6336 www.accuratecredit.com