A rental application is an application that is filled out by a prospective tenant to rent or
lease a property. This Residential Rental Application provides information about the
prospective tenant, such as contact information, present employer information, and
references. It further gives authorization to the landlord to perform a credit check on the
applicant. This form should be used by property owners, landlords, or property
management companies to collect information about prospective tenants.
RESIDENTIAL RENTAL APPLICATION
Landlord: [name and address, phone, fax]
Address of Rental Property:
Desired Date of Occupancy: Desired length of occupancy:
APPLICANT INFORMATION
Name: Date of Birth:
Social Security No.: Driver's License No:
APPLICANT RENTAL HISTORY
Present Address:
How long at present address: Home Phone No.:
Current rent payment: Reason for moving:
Landlord's Name: Landlord’s Phone No.:
Prior Address:
How long at prior address:
Prior rent payment: Reason for moving:
Prior Landlord's Name: Prior Landlord’s Phone No.:
SPOUSE INFORMATION (if applicable)
Name of Spouse: Date of Birth
Social Security No.: Driver's License No:
NAMES OF OTHER TENANTS,* INCLUDING CHILDREN AND ANYONE WHO WILL LIVE
WITH YOU (EVEN ON A TEMPORARY BASIS)
No. of occupants: Adults: Children:
Name: Child's Age:
Present Address: Home Phone No.:
How long at present address: Relationship to Applicant:
Occupation: School:
Name Child's Age:
Present Address: Home Phone No.:
How long at present address: Relationship to Applicant:
Occupation: School:
Name: Child's Age:
Present Address: Home Phone No.:
How long at present address: Relationship to Applicant:
Occupation: School:
*IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY WILL NEED TO
COMPLETE A SEPARATE RENTAL APPLICATION FORM.
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VEHICLES
Vehicle Model: Year: Vehicle Model: Year:
License No.: License No.:
PETS
Name: Name:
Type/Breed: Type/Breed:
Size: Size:
MISCELLANEOUS
Water bed: Smokers:
If yes, please explain where:
If yes, please explain:
Have yo
If yes, please explain:
If yes, please explain:
CURRENT EMPLOYER
Employer Name: Business Phone:
Position: How long:
Supervisor: Annual Income
Other Income Sources: Gov't assistance: $ Child Support/Alimony: $ Other: $
SPOUSE’S CURRENT EMPLOYER
Employer Name: Business Phone:
Position: How long:
Supervisor: Annual Income
Other Income Sources: Gov't assistance: $ Child Support/Alimony: $ Other: $$
NEAREST RELATIVE NOT LIVING WITH YOU
Name:
Address:
Relationship to Applicant: Home Phone No.:
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CREDIT/PERSONAL REFERENCES
Name: Name:
Address: Address:
Phone No.: Phone No.:
Relationship to Applicant: Relationship to Applicant:
BANK REFERENCES
Bank Name: Bank Name:
Branch: Branch:
Account No.: Account No.:
CREDIT CARDS
Credit Card Name: Credit Card Name:
Account No.: Account No.:
Expiration date: Year Issued: Expiration date: Year Issued:
Credit limit: Balance owed: Credit limit: Balance owed:
Monthly payment: Monthly payment:
Credit Card Name: Credit Card Name:
Account No.: Account No.:
Expiration date: Year Issued: Expiration date: Year Issued:
Credit limit: Balance owed: Credit limit: Balance owed:
Monthly payment: Monthly payment:
Landlord does not discriminate against any applicant on the basis of an