PDF Archive

Address:

Palm Leaf Property Management
Rental Application
Applicant Information
First:

Middle:

Last:

DOB:

SSN:

DL/ID#:

Email:

Phone:

Current Address:
City:

State:

ZIP Code:

Own or Rent?:
Mortgage Company (N/A if rent):
Rent Amount:

Current Rent Up to Date?:

Current Landlord:

Landlord's Phone:

Reason for Leaving:
Previous Address:
City:

State:

ZIP Code:

Own or Rent?:
Mortgage Company:
Rent Amount:

Security Deposit Returned?

Previous Landlord:

Landlord's Phone:

Reason:

Proposed Occupant(s)
Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Type/Breed:

Age:

Name:

Type/Breed:

Age:

Name:

Type/Breed:

Age:

Make/Model:

Color:

Plate #:

Make/Model:

Color:

Plate #:

Proposed Pet(s)

Vehicle(s)

Employment Information
Current Employer:
Address:
City:

State:

ZIP Code:

Email:

Phone:

Position:

Employment Length:

Hourly or Salary?:

Weekly or Biweekly?:

Annual Income:

State:

ZIP Code:

Current Employer:
Address:
City:
Email:

Phone: <<What is your second employer's phone number?>>

Position:

Employment Length:

Hourly or Salary?:

Weekly or Biweekly?:

Annual Income:

State:

ZIP Code:

Former Employer:
Address:
City:
Email:

Phone:

Position:

Employment Length:

Hourly or Salary?:

Annual Income:

Other Income Description:

Annual Income:

Emergency Information
Emergency Contact:

Relationship:

Email:

Phone:

Full Address:
Emergency Contact:

Relationship

Email:

Phone:

Full Address:

Applicant Questionnaire
Has Applicant Ever Been Evicted?

How Long Ago?:

Has Applicant Ever Filed Bankruptcy?:

How Long Ago?:

Has Applicant Ever Been Convicted of a Felony?:

How Long Ago?:

Has Applicant Ever Broken a Lease?:

How Long Ago?:

Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, and any other sources
deemed necessary to investigate applicant. All information is true, accurate, and complete to the best of applicant's knowledge. Landlord
reserves the right to disqualify tenant if information is not represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION
ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
Signature of Applicant:
[

]

Date:
I understand that check-marking constitutes a legal signature confirming that I acknowledge and agree to the
above terms stated above.