Rental Application for Married Couples s2

Return to: Jan Gagne Ph# (541) 829-1080 RENTAL APPLICATION For (Rental Address)______Neatly complete all information below. All other applicants over the age of 18 must complete and sign their own application.

Primary Applicant ______Phone #______DOB______

Social Security #______Drivers License #______State______Exp.______

Current Address______City______State_____Zip______

Current Landlords Name______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______Phone #______

Employers Address______City______State_____Zip______

Phone #______How long at this job______Mo Income______

Other Income/sources______

Co-applicant______DOB______

Social Security #______Drivers License #______State______Exp.______

Present Employer______Position______Phone #______

Employers Address______City______State_____Zip______

Phone #______How long at this job______Mo Income______

Other Income/sources______

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

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 tenet 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______Return to: Jan Gagne Ph# (541) 829-1080 Signature______Date______