Roommate Rental Application

RENTAL APPLICATION

Move in date: ___________

Applicant Information:

Apartment or address applying for:

_______________________________________

Applicant's Name: ______________________________________

Applicant's SS# ___________________

Co-Applicant's Name: ___________________________________

Co-Applicant's SS# ___________________

Phone # home: _____________________ Work_______________

DOB __________________

Co-Applicant's home/work phone______________

Co-Applicant's DOB __________________

Applicant's Driver's License: ___________________________________

State_____________

Co-Applicant's Driver's License _________________________________

State _____________

Current Address _______________________________________

Previous Address (if current is less than 3 years) _______________________________________

Co-Applicants Current Address: _______________________________________

Previous Address: _______________________________________

List of Occupants: _______________________________________

Emergency Contact phone number: _______________________________________

Current Landlord Information:

Property Name: _______________________________________

Landlord or Contact Name: __________________________

phone # _____________________

Landlord Address: _______________________________________

Monthly Rental Amt.:______________

Resided on premises from _________to_____________

Current Landlord Information for Co-Applicant:

Property Name: _______________________________________

Landlord or Contact Name: __________________________

phone # _____________________

Landlord Address: _______________________________________

Monthly Rental Amt.:______________

Resided on premises from _________to_____________

Employment Information:

Employer/Company Name

_______________________________________

Address _______________________________________

Supervisor's Name___________________________________

phone #_____________________

Position_____________________Salary $________

Start Date/Length of employment________

Employment Information for Co-Applicant:

Employer/Company Name _______________________________________

Address _______________________________________

Supervisor's Name___________________________________

phone #_____________________

Position_____________________Salary $________

Start Date/Length of employment________

I understand that I/we will be turned down if I/we falsify any information on this application. I/we authorize the verification of all above information by ______________________ to include credit, rental, employment and criminal background.

Applicant's signature

__________________________

Date_____________________

Co-Applicant __________________________

__

DO I NEED A RENTAL APPLICATION FILLED OUT? YES

Remember the person who answers your ad is a total stranger and you need to get to know him or her as quickly as possible. Have your potential renter fill out and sign a rental application. Along with the application get a copy of a photo ID.

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