Rental Application

Date: _______(1)__________ Application is hereby made to rent premises generally described as ______________________(2)___________________________ for a term of __(3)__ and ending the _(4)_ day of _____(5)______, 19_(6)_, for which monthly rental shall be $____(7)____, payable in advance, and for which a security deposit of $____(8)____ shall be due prior to occupancy of the above-described premises. A deposit of $___(9)___ 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: __________________________________(10)___________________________________ Present Address: ___________________(11)_____________________ How Long? ____(12)___ Previous Address: __________________(13)______________________ How Long? ___(14)___ Married: ____(15)____ Spouse's Name: ______________________(16)____________________ Children? _______(17)_______ How Many? _______(18)_______ Ages? ________(19)_______ Pets? _______(20)_______ What Kind? ________(21)_________ How Many? ______(22)_____ YOUR EMPLOYMENT Employer: _______________________________(23)___________________________________ Employer Address: ________________________(24)___________________________________ Supervisor: ____________(25)______________ Bus. Phone: ____________(26)_____________ How Long on Present Job? __________(27)____________ Annual Income: ______(28)_______ SPOUSE'S EMPLOYMENT Employer: _______________________________(29)___________________________________ Employer Address: ________________________(30)___________________________________ Supervisor: _____________(31)_____________ Bus. Phone: ____________(32)_____________ How Long on Present Job? ________(33)_________ Annual Income: ________(34)__________ REFERENCES Bank: _________________(35)___________________ Phone: ___________(36)____________ Personal Reference: _________(37)_______________ Phone: ___________(38)____________ Credit Reference: ____________(39)______________ Phone: ____________(40)____________ Credit Reference: ____________(41)______________ Phone: ____________(42)____________ ______________(43)_____________ 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 ________

NOTICE:
The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.