Renters Application

APPLICANT INFORMATION

PROPOSED MOVE-IN DATE

APPLICANT NAME *

First

Last

HOME PHONE # *

OTHER PHONE

EMAIL *

Dropdown Items

BIRTHDATE

CURRENT ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

LANDLORD NAME / MORTGAGE HOLDER

MONTHLY PAYMENT

PHONE

FAX

EMAIL

HOW LONG?

PLEASE SELECT ONE:

OWNED
RENT

REASON FOR LEAVING

PRIOR STREET ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

LANDLORD NAME / MORTGAGE HOLDER

PHONE

FAX

Email

HOW LONG

PLEASE SELECT ONE

OWNED
RENTED

REASON FOR LEAVING

EMPLOYER INFORMATION

CURRENT EMPLOYER

HOW LONG?

EMPLOYED AS

EMPLOYER ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

EMPLOYER PHONE

EMPLOYER FAX

SALARY PER MONTH $

SUPERVISOR

First

Last

CREDIT REFERENCES

BANK

ACCT. #

BANK ADDRESS

Address Line 1

Address Line 2

City

State

Zip Code

PERSONAL REFERENCES

PERSONAL REFERENCE 1

First

Last

PHONE

EMAIL

RELATIONSHIP

PERSONAL REFERENCE 2

First

Last

PHONE

EMAIL

RELATIONSHIP

CO-APPLICANT INFORMATION

For Privacy purposes, all Co-Applicants must submit their own individual Rental Application.

DO YOU HAVE A CO-APPLICANT?

YES
NO

PHONE

VEHICLE INFORMATION

MAKE

MODEL

LIC#

STATE

YEAR

COLOR

MAKE

MODEL

LIC#

STATE

YEAR

COLOR

OTHER OCCUPANTS

IN ADDITION TO APPLICANT(S), OTHER PERSONS WHO WILL RESIDE AT PREMISES:

NAME

First

Last

RELATIONSHIP

AGE

OCCUPATION

TELEPHONE NUMBER

NAME

First

Last

RELATIONSHIP

AGE

OCCUPATION

TELEPHONE NUMBER

NAME

First

Last

RELATIONSHIP

AGE

OCCUPATION

TELEPHONE NUMBER

PETS

* If you have a service animal, emotional support animal, or assistance animal, (as those terms are defined in CFR, NRS, and FHA) STOP! Your animal is not a “Pet.” Please fill out “Lease Addendum for Service and/or Emotional Support Animals (Collectively “Assistance Animals”.)”

PETS?

YES
NO

IF YES, PLEASE COMPLETE THE FOLLOWING:

OTHER INFORMATION

HAS THE APPLICANT EVER FILED FOR BANKRUPTCY?

YES
NO

HAS THE APPLICANT EVER BEEN EVICTED?

YES
NO

HAS THE APPLICANT WILLFULLY REFUSED TO PAY RENT WHEN DUE?

YES
NO

HOW LONG DOES THE APPLICANT PLAN TO LIVE HERE?

DOES THE APPLICANT PLAN TO USE LIQUID FILLED FURNITURE?

YES
NO

DOES ANYONE IN THE HOUSEHOLD SMOKE?

YES
NO

This includes, but is not limited to the use of all tobacco, smoking related products, electronic cigarettes, vaping pens or other instruments that cause smoke or vapor to be emitted.

EMERGENCY CONTACT

APPLICANT IN CASE OF EMERGENCY, PERSON TO NOTIFY

First

Last

RELATIONSHIP

Phone

Email

DISCLOSURE

BY COMPLETING THIS FORM, I UNDERSTAND THAT MY CREDIT WILL BE CHECKED AND ALL APPLICATION FEES ARE NON-REFUNDABLE.

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APPLICANT INFORMATION

EMPLOYER INFORMATION

CREDIT REFERENCES

PERSONAL REFERENCES

CO-APPLICANT INFORMATION

VEHICLE INFORMATION

OTHER OCCUPANTS

PETS

ADDITIONAL PET INFORMATION:

OTHER INFORMATION

EMERGENCY CONTACT

License Numbers

Phone

Address