Fill and Sign the Vendor Application Form

Rental Application Form Date: ___________PROPERTY INFORMATION: Description of Premises: (Give street address, city, state and Apartment Number): ___________________________________________________________________________________________________________________________________________Security Deposit: $___________________________Period of Rental: (dates, often prorated for first uncompleted form): ____________________________________________________________________________________INFORMATION ON TENANT(s)Names of Applicants: _________________________________________________________________________________________________________________________Social Security Numbers: ___________________________________________________Drivers License Numbers: ___________________________________________________Marital Status (if married, how long): _________________________________________Number of People who will be staying with you: __________________________Postal Address: ___________________________________________________Telephone Numbers: ___________________________________________________Present Physical Address: _____________________________________________________________________________________________________________________________How long at the above address: ______________________________________________Monthly Rental: ___________________________________________________Name of Landlord/Agent: ___________________________________________________Contact Numbers: _________________________________________________________ Previous Physical Address: ________________________________________________________________________________________________________________________How long at this address: ___________________________________________________Monthly Rental: ___________________________________________________Name of Landlord/Agent: ___________________________________________________Contact Numbers: ___________________________________________________EMPLOYMENT INFORMATION:Present Employer Name & Telephone Number: ________________________Period of Service with Employer: __________________________________________Salary per Month: ___________________________________________________Previous Employer Name & Telephone Number: ______________________________________________________________________________________________________________Period of Service with Employer: ___________________________________Present Employer Name & Telephone Number of Spouse: _________________________Period of Service with Employer: _________________________REFERENCES:Bank: ___________________________________________________Branch and Account Number: __________________________________________________________________________________________________________________________CREDIT INFORMATION:Establishment: _______________________________________________Phone Number: _______________________________________________ Account Number: _______________________________________________ Balance Due: _______________________________________________ Establishment: _______________________________________________Phone Number: _______________________________________________ Account Number: _______________________________________________ Balance Due: _______________________________________________ Automobile: _______________________________________________ Make: _______________________________________________Registration Number: _______________________________________________ Finance Company: _______________________________________________ Balance Due: I declare that all the above information is true and correct and the information may be used by the landlord or his agent to verify and obtain a complete consumer credit report for purposes of this rental application. I agree that this information is not privileged and may be used by the landlord or his agent to decide whether to accept or decline this rental application. I understand and agree that any false or incomplete information supplied may be grounds for rejecting this application and will violate any rental agreement following this application if discovered later.I further grant permission to have a criminal history check done on my person.I agree that if this rental application is successful I will pay the security deposit by the following date: _____________________The sum of $____________ will accompany this rental application to facilitate a credit check.Witness my signature this ____ day of _________________, 20_____. ________________________________Printed Name of Applicant________________________________ Signature of Applicant