Personal Rental Application

PERSONAL RENTAL APPLICATION

Property Applied For:    Desired Move-In Date:    Lease Term (months):

Applicant Information

Date of Birth:    Social Security Number:

Current Residence

Landlord/Owner:    Phone:

Monthly Rent/Mortgage:    Dates Occupied: From to

Previous Residence (if less than 3 years at current)

Landlord/Owner:    Phone:

Employment & Income

Employer Phone:    Position:

Gross Monthly Income:    Length of Employment:

Occupants, Pets & Vehicles

Pets: None    Yes — If yes, describe:

References / Emergency Contact

Background & Rental History Questions

Have you ever been evicted? Yes    No

Have you been convicted of a felony within the past seven years? Yes    No

Authorizations, Disclosures & Certification

I certify that the information contained in this application is true and complete to the best of my knowledge. I understand that false, misleading or omitted information may be grounds for denial of this application or termination of any tenancy entered into based on this application. I authorize verification of the information provided, including credit history, criminal record, rental history, employment and income verification, and other public or private records as necessary to evaluate this application. I authorize past and present employers, landlords, credit bureaus and other references to release information about me to the prospective landlord or representative.

I understand that any screening fee charged is non-refundable and is for the cost of processing this application. I acknowledge receipt of any required disclosures provided separately in writing. I agree that the landlord may contact me by phone, text or email at the numbers and addresses provided above for purposes related to this application or tenancy.

By checking the box below, I consent to allow the landlord or agent to obtain consumer reports and investigative consumer reports about me for tenant screening purposes and to use a copy of this authorization as if it were an original.
I consent to background and credit checks.

Additional Information

Applicant acknowledges that submission of this application does not guarantee approval or the right to occupy the unit until a lease is signed by all required parties and any required payments are received.

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