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Rental Application
Separate application required from each applicant age 18 or older.
This section to be completed by landlord
Address of Property to Be Rented:
Rental Term:
month to month
lease from
to
Amounts Due Prior to Occupancy
First month’s rent.................................................................................. $
Security deposit.................................................................................... $
Credit-check fee.................................................................................... $
Other (specify):
$
TOTAL..................................... $
Applicant
Full Name—include all names you use(d):
Home Phone: (
)
Work Phone: (
)
Cell Phone: (
)
Fax (By providing this number, I agree to receive Fax transmissions from the landlord
or landlord’s agent): (
)
Email:
Social Security Number:
Driver’s License Number/State:
Other Identifying Information:
Vehicle Make:
Model:
Color:
Year:
License Plate Number/State:
Additional Occupants
List everyone, including children, who will live with you:
Full Name
Relationship to Applicant
Rental History
Current Address:
Dates Lived at Address:
Reason for Leaving:
Landlord/Manager:
Landlord/Manager’s Phone: (
)
Previous Address:
©nolo
Dates Lived at Address:
Reason for Leaving:
www.nolo.com
Rental Application
Page 1 of 3
Landlord/Manager:
Landlord/Manager’s Phone: (
)
Previous Address:
Dates Lived at Address:
Reason for Leaving:
Landlord/Manager:
Landlord/Manager’s Phone: (
)
Employment History
Name and Address of Current Employer:
Phone: (
)
Name of Supervisor:
Supervisor’s Phone: (
Dates Employed at This Job:
Position or Title:
)
Name and Address of Previous Employer:
Phone: (
)
Name of Supervisor:
Supervisor’s Phone: (
Dates Employed at This Job:
Position or Title:
)
Income
1. Your gross monthly employment income (before deductions):
$
2. Average monthly amounts of other income (specify sources):
$
TOTAL:
$
Credit and Financial Information
Bank/Financial Accounts
Account Number
Bank/Institution
Branch
Savings Account:
Checking Account:
Money Market or Similar Account:
Type of Account
Account
Credit Accounts & Loans
(Auto loan, Visa, etc.) Number
Name of
Creditor
Amount Monthly
Owed Payment
Major Credit Card:
Major Credit Card:
Loan (mortgage, car, student loan, etc.):
Other Major Obligation:
©nolo
www.nolo.com
Rental Application
Page 2 of 3
Miscellaneous
Describe the number and type of pets you want to have in the rental property:
Describe water-filled furniture you want to have in the rental property:
yes
Do you smoke?
no
Have you ever: Filed for bankruptcy?
Been evicted?
yes
yes
no
no
Been sued?
yes
no
Been convicted of a crime?
yes
no
Explain any “yes” listed above:
References and Emergency Contact
Personal Reference:
Relationship:
Address:
Phone: (
Personal Reference:
Relationship:
)
Address:
Phone: (
Contact in Emergency:
Relationship:
)
Address:
Phone: (
)
I certify that all the information given above is true and correct and understand that my lease or rental
agreement may be terminated if I have made any material false or incomplete statements in this application.
I authorize verification of the information provided in this application from my credit sources, credit
bureaus, current and previous landlords and employers, and personal references. I understand that if I
have initiated a “security freeze” on my credit information with any of the credit reporting agencies, I will
promptly lift the freeze for a reasonable time so that my credit report may be accessed by the Landlord/
Manager; and I understand that if I fail to do so, the Landlord/Manager may consider this an incomplete
application. (CC § 1785.11.2.) This permission will survive the expiration of my tenancy.
Date
Applicant
Notes (Landlord/Manager):
©nolo
www.nolo.com
Rental Application
Page 3 of 3
Application.pdf (PDF, 83.63 KB)
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