Sample Application

Your Complex Name

John Doe 888 674 9181 P
Your Address 888 674 9180 F
Your City,UT,84604 support@rentingauthority.com

Move In Info
Room Type: __________________________________________________________
Deposit : _________________________ Rent: ___________________
Contract: _________________________ Move in date: ___________________

Applicant Info
First Name: _________________________ Last Name: ___________________
SSN: _______-_______-_________ Birth Day: _____/______/______
Phone: (__________)_____________ Cell Phone: (_______)__________
License: _________________________ Smoke?: Yes ______ No _____

Co-Applicant Info
First Name: _________________________ Last Name: ___________________
SSN: _______-_______-_________ Birth Day: _____/______/______
Phone: (__________)_____________ Cell Phone: (_______)__________
License: _________________________ Smoke?: Yes ______ No _____

Others who will be living in this Apartment
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______
Name: __________________________ Relationship: _____________ Age: ______

Current Address
Address: __________________________________________________________
City: ________________________ State: _________ Zip: _________
Manager: ________________________ Phone: (_____)_______________
Start Date: _____/______/___________ End Date: ______/_______/_______
Leave Reason: _________________________________________________________

Past Rental History
Address: __________________________________________________________
City: ________________________ State: _________ Zip: _________
Manager: ________________________ Phone: (_____)_______________
Start Date: _____/______/___________ End Date: ______/_______/_______
Leave Reason: _________________________________________________________

Employment History
Company: __________________________________________________________
Manager: ________________________ Phone: (_____)______________
Address: __________________________________________________________
City: ________________________ State: _________ Zip: ________
Emp Length: ________________________ Monthly Pay: ____________________

Co-Applicant Employment History
Company: __________________________________________________________
Manager: ________________________ Phone: (_____)______________
Address: __________________________________________________________
City: ________________________ State: _________ Zip: ________
Emp Length: ________________________ Monthly Pay: ____________________

Additional Income
Income Source: _______________________ Amount: ____________________
Verify with: _______________________ Phone: (____)______________

Banking Information
Bank: ___________________ Acct #: _____________ Amount: ______
Bank: ___________________ Acct #: _____________ Amount: ______
Bank: ___________________ Acct #: _____________ Amount: ______
Bank: ___________________ Acct #: _____________ Amount: ______

Personal References
Name: _________________ Relationship: __________ Phone: (___)_______
Name: _________________ Relationship: __________ Phone: (___)_______
Name: _________________ Relationship: __________ Phone: (___)_______

Automobile Information
Make: ___________________
Model:
 _____________ Plate #: ________
Make: ___________________
Model:
 _____________ Plate #: ________

Pet Information
Type: ___________________
Breed:
 _____________ Weight: ________
Type: ___________________
Breed:
 _____________ Weight: ________
Type: ___________________
Breed:
 _____________ Weight: ________

Additional Information
Have you ever been convicted of a crime? Describe and Date each one: ______________________________________________________
______________________________________________________
______________________________________________________
Have you ever been evicted, declared bankruptcy or had a judgement? Describe and Date each one: ______________________________________________________
______________________________________________________
______________________________________________________
_____ I agree to the following statement I represent that the information provided in this application is
true, complete and accurate to the best of my knowledge. I understand that any
misrepresentation or omission of information is grounds for
eviction.
_____ I agree to the following statement I understand that the information provided might be used by
Landlord to determine whether to accept this application. I authorize Landlord
to verify all the information given in this application, including
past rental information, personal references and employment information
provided. I authorize the Landlord to obtain a current credit and criminal background check.
_____ I agree to the following statement I understand that this application is not a rental agreement
and that this application does not create any obligation on the Landlord
The undersigned represent that the
information provided in this application is true, complete, and accurate
to the best of my knowledge. I understand that any misrepresentation or
omission of information is grounds for eviction.
Print Name: ___________________ Signature: _____________ Date: ___/___/____

Print Name:

___________________

Signature:

_____________

Date:

___/___/____

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