National Apartment Association Rental Application Form

Rental Application for Residents and Occupants

Each co-applicant and each occupant 18 years old and over must submit a separate application. Spouses may submit a single application.

Date when filled out:

ABOUT YOU

Full name:

Your street address:

Driver's license # and state:

Govt. photo ID card #:

Former last names (maiden and married):

Social Security #:

Birthdate: Height: Weight:

Sex: Eye color: Hair color:

Marital Status: single married divorced widowed separated

Are you a U.S. citizen? Yes No

Do you or any occupant smoke? yes no

Will you or any occupant have an animal? yes no

Kind, weight, breed, age:

Email address:

YOUR RENTAL/CRIMINAL HISTORY

Current home address (where you now live):

City/State/Zip:

Home/cell phone: Current rent: $

Name of apartment where you now live:

Current owner or manager's name:

Their phone: Date moved in:

Why are you leaving your current residence?

Your previous home address:

City/State/Zip:

Apartment name:

Name of above owner or manager:

Their phone: Previous monthly rent: $

Date you moved in: Date you moved out:

YOUR WORK

Present employer:

Address:

City/State/Zip:

Work phone: Position:

Date you began this job: Gross monthly income is over: $

Supervisor's name and phone:

Previous employer:

Address:

City/State/Zip:

Work phone: Position:

Gross monthly income was over: $

Dates you began and ended this job:

Previous supervisor's name and phone:

YOUR CREDIT HISTORY

Your bank's name, city, state:

List major credit cards:

Other non-work income you want considered. Please explain:

Past credit problems you want to explain:

YOUR SPOUSE

Full name:

Former last names (maiden and married):

Spouse's Social Security #:

Driver's license # and state:

Govt. photo ID card #:

Birthdate: Height: Weight:

Sex: Eye color: Hair color:

Are you a U.S. citizen? Yes No

Present employer:

Address:

City/State/Zip:

Work phone: Position:

Date began job: Gross monthly income is over: $

Supervisor's name and phone:

OTHER OCCUPANTS

Name: Relationship:

Sex: DL or govt. ID card # and state:

Birthdate: Social Security #:

Name: Relationship:

Sex: DL or govt. ID card # and state:

Birthdate: Social Security #:

Name: Relationship:

Sex: DL or govt. ID card # and state:

Birthdate: Social Security #:

YOUR VEHICLES

Make and color of vehicle: Year: License #: State:

Make and color of vehicle: Year: License #: State:

Make and color of vehicle: Year: License #: State:

EMERGENCY

Emergency contact person over 18, who will not be living with you:

Name:

Address:

City/State/Zip:

Work phone: Home phone:

Relationship:

AUTHORIZATION

I or we authorize to obtain reports from any consumer or criminal record reporting agencies before, during, and after tenancy.

Contemplated Lease Contract Information

Names of all residents who will sign Lease Contract:

Name of Owner/Lessor:

Property name and type of dwelling:

Complete street address:

City/State/Zip:

Total number of residents and occupants:

Beginning date and ending date of Lease Contract: to

Total security deposit $ Animal deposit $

Total monthly rent for dwelling unit $

Rent to be paid at: on-site manager's office at

Prorated rent for: first month second month $

Monthly rental due date:

Late charges due if rent is not paid on or before the: Initial late charge $ Daily late charge $

Returned-check charge $

Utilities paid by owner: electricity gas water wastewater trash cable TV master TV antenna

Agreed reletting charge $

Special provisions regarding parking, storage, etc.:

Application Agreement

Application fee (nonrefundable): $

Application deposit (may or may not be refundable): $

Total of above application fee and application deposit: $

Total amount of money we've received to this date: $

Our representative's signature:

Date:

Doctor's Name: Doctor's Phone:

Important medical information about you in an emergency:

1.

2.

3.

4.

5.

6.

Apt. name or dwelling address (street, city):

Unit # or type:

Phone: Phone:

Person accepting application:

Person processing application:

Date that applicant or co-applicant was notified:

Name of person(s) who were notified:

Name of owner's representative who notified above person(s):