Rental Application

Applicant Information

Picture Identification

Rental History - Current Residence

Previous Residence 1

Previous Residence 2

Names, Email Addresses, and Phone Numbers of Applicants (email optional - please print clearly)

Applicant 1

Applicant 2

Applicant 3

Applicant 4

Household Composition - List all persons (including family members) who will reside on the premises

Household Member 1

Household Member 2

Household Member 3

Household Member 4

Pets

Pet 1

Pet 2

Pet 3

Pet 4

Vehicles Parked at the Premises (other than guests)

Vehicle 1

Vehicle 2

Vehicle 3

Vehicle 4

Employment Information

Second Job (if applicable)

Personal References

Personal Reference 1

Personal Reference 2

Personal Reference 3

Credit References

Credit Reference 1

Credit Reference 2

Credit Reference 3

What Utilities Have You Paid?

Agreements and Authorization for Information

All statements made above are true and complete and hereby authorizes verification of any and all references given. Each applicant hereby authorizes the landlord or rental agent and their representatives to contact any persons, agencies, corporations, employers, offices, groups, or organizations to obtain any information or material deemed necessary to verify the information and rental history pertaining to this application. Each applicant agrees that all adults who may reside on the premises will be jointly-severally liable for all rent and damage incurred during the term of occupancy. A credit check may be done and is not subject to refund in the event the applicant is not approved. In the event the application is approved and the applicant desires to rent the premises, each applicant agrees to fill out, sign, and abide by the rental agreement and fill out and sign the condition of premise form. Each applicant/tenant hereby authorizes the landlord or rental agent and their representatives to contact any law enforcement official and demand immediate notification and information pertaining to any activities taking place on the landlord's premises or adjacent properties.

FRAUD - Withholding information from this Agency OR providing false information to this Agency. 1. Under Federal Law, FRAUD is punishable by fines up to $10,000 AND imprisonment for up to five years. 2. If a resident submits fraudulent information to this agency OR withholds relevant information from this Agency, the resident will be charged with back rent, face eviction proceedings, and will be turned in for prosecution for violating a federal law.