Fillable Printable Arkansas Rental Application Form

Arkansas Rental Application Form

******ARKANSAS APPLI

CATION FOR RESIDENTIAL LEASE******

Not

e: We do not acc

ept this application form incomplete.

Address of Property ______________________________________________ Monthly Rent $ _______________________

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PERSONAL INFORMATION

Name of Applicant: _____________________________________ Social Security No._________________ Applicants Date of Birth: ____ / ____ / ____

Cell Phone (_____) __________ Work (_____) _______ext .____ Home (____) _____________ Email:______________________________________

Name of Prospective Guarantor (if any; if none, write “

NONE”) ___________________________ (each guarantor must complete a separate application)

TENANT HISTORY

Present –or-- Previous Address: No. and Street ________________________________ Apt No. ______ City/Town __________________

State_____Zip __________

Monthly Rent : Mortgage Payment : (check one: own or rent) $ ____________________________ Lease Term: From: _____/____/____

to___/___/_____

Present Landlord / Manager’s (or Lender’s, if space was owned) Name: ___________________________ Phone No. (_____)__________________

Reason for Moving: ________________________________________________________________________________________________________

Previous Residence: No. and Street ______________________________ _____________ City/Town __________________ State____Zip __________

Monthly Rent / Mortgage Payment (circle one: own or rent) $ ___________________________ Lease Term: From: _____/____/____ to___/___/____

Previous Landlord / Manager’s Name _______________________________________ Phone No. (_____) ___________________________________

Reason for Moving _________________________________________________________________________________________________________

Have you ever had landlord/ tenant litigation?___Have you ever been evicted?____Have you ever filed bankruptcy?____ If yes, Explain on back of sheet

EMPLOYMENT HISTORY

Current Employer: ___________________________________________________ Position: _______________________________________________

Work Address: _______________________________________________Supervisor’s / HR Name/Phone No. _________________________________

Work Phone No. (____) _____________ Annual Income (Base)$__________Bonus_________From (MM/DD/YY) ____/____/____ to ____/____/_____

Previous Employer: __________________________________________________ Position _______________________________________________

Work Address: _______________________________________________Supervisor’s / HR Name/Phone No. _________________________________

Work Phone No. (____) _____________ Annual Income (Base)$__________Bonus_________From (MM/DD/YY) ____/____/____ to ____/____/_____

OTHER INFORMATION REGARDING THE APPLICANT

Driver’s License No. ___________________________________ State of Issuance ________________ Expiration Date (MM/DD/YY) ____/_____/____

Bank Name / Address __________________________________________________ Bank Phone No. (____) ________________________________

Checking Account No. ________________________________________ Savings Account No. ____________________________________________

Credit Cards (2) Type 1 _______________________________________ Account Number 1 ______________________________________________

Other Income (Stocks, Bonds, Rentals, etc) _______________________________________________ Annual Amount $ _______________________

Business Reference (CPA, Attorney or Stock Broker) _________________ Relationship to Applicant ____________ Phone No. (____)_____________

Emergency Contact: _____________________________Relationship __________________ Phone No. (_____) ______________________________

THE UNDERSIGNED APPLICANT (“APPLICANT”) ACKNOWLEDGES AND AGREES THAT THE PROSPECTIVE LANDLORD OR SUBLESSOR OF

APPLICANT, its agents, attorney and/or real estate broker has the right (but not the obligation) to conduct one or more credit checks on Applicant at

any time, for any reason and without notice to Applicant, and to verify all information contained herein. A NON-REFUNDABLE

$_________________

application-processing fee will be charged to Applicant. THIS APPLICATION IS SUBJECT TO ACCEPTEANCE OR REJECTION AT ANY TIME BY

LANDLORD OR SUBLESSOR AT ITS SOLE DISCRETION. Please make sure all information is complete. If your company verifies your information

with the “The Work Number”, or a pay per use reference; applicant is responsible for the fees associated with the reference check. Applicant represents

and warrants that all of the information contained herein is true in all respects.

Signature _____________________________________________________________________ Date ______________________________________