Rental Application
Date: _________________
Application is hereby made to rent premises generally described as _________________________________________________ for a term of ____ and ending the __ day of ___________, 20__, 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 Address: ___________________________________________________________
Supervisor: __________________________ Bus. Phone: _________________________
How Long on Present Job? ______________________ Annual Income: _____________
SPOUSE'S EMPLOYMENT
Employer: __________________________________________________________________
Employer Address: ___________________________________________________________
Supervisor: __________________________ Bus. Phone: _________________________
How Long on Present Job? _________________ Annual Income: __________________
REFERENCES
Bank: ____________________________________ Phone: _______________________
Personal Reference: ________________________ Phone: _______________________
Credit Reference: __________________________ Phone: ________________________
Credit Reference: __________________________ Phone: ________________________
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The information provided herein may be used by the landlord or his agent to determine whether to accept this application. Upon written request within 30 days, the landlord or his agent will disclose to applicant in writing the nature and scope of any investigation landlord has requested, and will, if this application is refused, state in writing the reason for said refusal.
Accepted ________ Refused ________
