Date:
____________________________________
Application is hereby made to rent premises generally described as
_________________________________
for a term of and ending the day of
____________________
, 2____ , for which monthly rental shall be ____________
($ ) payable in advance, and for which a security deposit of
_______________________________________________________
($ ) shall be due prior __________________
to occupancy of the above described premises.
A deposit of ($ )
_________________________________________
is made herewith on account of the first month's rent, with the understanding that if this application is accepted and the applicant fails to execute a lease before the beginning date specified above, or to pay the balance due as first month's rent, said payment will be forfeited as liquidated damages.
It is also understood that if this application is not accepted, or if the premises are not ready for occupancy by the applicant on the date specified above, said deposit shall be
______________________________________________
refunded to the applicant forthwith, upon applicant's request. 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.