Sample Rental Application
Every rental application will be different.
However, to give you an idea of what you may expect, take a look at this sample rental application from the Internet Legal Research Group .RENTAL APPLICATION
Equal Housing Opportunity
The undersigned hereby makes an application to rent the following property: ____________________________________________________________________________________.
Anticipated move date of ___________________at a monthly rent of $_______________ and security deposit of $_______________.
| PLEASE TELL US ABOUT YOURSELF |
Date of Birth_________________________________
Email Address:__________________________________________(optional) Other Phone ( ) ___________________
Co-Applicant Name_________________________________________ Co-Applicant Date of Birth_____________________
Names of Dependents_______________________________________ Dependents Date of Birth _____________________
List All Pets__________________________________________________________________________________________
| PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) |
Month/Year Moved In______________________ Reasons for Leaving____________________________Rent $__________
Owner/Agent__________________________________________________Phone ( ) ____________________________
Previous Address (last 3 years)_________________________________________________________Rent $____________
Owner/Agent__________________________________________________Phone ( ) ____________________________
| PLEASE DESCRIBE YOUR CREDIT HISTORY |
| Have you declared bankruptcy in the past seven (7) years? | Yes___________ No____________ |
| Have you ever been evicted from a rental residence? | Yes___________ No____________ |
| Have you had two or more late rental payments in the past year? | Yes___________ No____________ |
| Have you ever willfully or intentionally refused to pay rent when due? | Yes___________ No____________ |
| PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION |
Employer______________________________________________________________________________________________
Dates employed_______________________________ Employed as______________________________________________
Supervisor Name______________________________________________ Phone ( )______________________________
Salary $_________________per________________. (If employed by above less than 12 months, give name & phone of previous employer or school:________________________________________________________________________________.)
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.
Amount $___________________ Source/Contact Name__________________________________________________________
| PLEASE LIST YOUR REFERENCES |
Name _______________________ Address _______________________________________________
Phone _______________________ Relationship_______________________
Driver's License:
Your Driver's License Number_________________ State_________________
Vehicle Information:
Make / Model _________________Year _________________License Plate State_________________
| ADDITIONAL INFORMATION: |
Please give any additional information that might help owner/management
evaluate this application?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Where may we reach you to discuss this application?
Day Phone # ( )
___________________________ Night Phone # (
)____________________________
I hereby apply to lease the above described premises for the term and upon the
set conditions above set forth and agree that the rental is to be payable the
first day of each month in advance. As an inducement to the owner of the
property and to the agent to accept this application. I warrant that all
statements above set forth are true; however, should any statement made above be
a misrepresentation or not a true statement of facts, all of the deposit will be
retained to offset the agent's cost, time, and effort in processing my
application.
I hereby deposit $___________ as earnest money to be refunded to me if this
application is not accepted in 3 business banking days. Upon acceptance, this
deposit shall be retained as part of the security deposit. When so approved and
accepted, I agree to execute a lease for ___________ months before possession is
given and to pay the balance of the security deposit prior to the move in date.
If the application is not approved or accepted by the owner or agent, the
deposit will be refunded, the application hereby waiving any claim for damages
by reason of non-acceptance which the owner or agent may reject. I recognize
that as a part of your procedure for processing my application, and
investigative consumer report may be prepared whereby information is obtained
through personal interviews with others with whom I may be acquainted. This
inquiry includes information as to my character, general reputation, personal
characteristics and mode of living.
The above information, to the best of my knowledge, is true and correct.
Please sign: X__________________________________ __________________________________
Name of Applicant Date
AUTHORIZATION
Release of Information
I authorize an investigation of my
credit, tenant history, banking and employment for the purposes of
renting a house, apartment, or condominium from this owner/manager.
_____________________________________________
Name (please print)
X_______________________________________ __________________________
Signature Date
APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)
Deposit of $__________________ Received by ____________________________ Date_______________
OFFICE NOTES:
