Date:
Application is hereby made to renew the lease agreement executed on the day of , 20 . The premises
are generally described as
for a term of and ending
the day of , 20 , for which monthly
rental shall be
($ ) payable in advance.
The initial security deposit is hereby transferred over as the security deposit on the renewed lease.
It is also understood that if this application for lease
renewal is not accepted, said deposit shall be refunded to the applicant forthwith, upon applicant's request.
Please complete the following.
APPLICANT
Name:
Present Address: How Long?
Previous Address: How Long?
Married: Spouse's Name:
Children? How Many? Ages?
Pets? What kind? How Many?
YOUR EMPLOYMENT
Employer:
Employer's Address:
Supervisor: Bus. Phone:
How Long On Present Job? Annual Income:
SPOUSE'S EMPLOYMENT
Employer:
Employer's Address:
Supervisor: Bus. Phone:
How Long On Present Job? Annual Income:
REFERENCES
Bank: Phone:
Personal Reference: Phone:
Credit Reference: Phone:
Credit Reference: Phone:
The Landlord is authorized to use the information provided herein to conduct any and all investigations as deemed prudent by the Landlord.
The terms of the initial lease agreement referred above are reaffirmed as of the date below, except as modified by the terms herein.