Colorado Rental Application

1

COLORADO RENTAL APPLICATION

TODAY’S DATE

ADDRESS APPLIED FOR

APPLICANT’S INFORMATION

LAST NAME _ FIRST

MI

JR/SR

SS#

DATE OF BIRTH

PHONE #

CURRENT ADDRESS

Street City State Zip

How Long at Current Address

Landlord or Mortgage Co.

Reason for leaving

Phone #

Amount of Payment

Previous Address

Street City State Zip

How Long at Previous Address

Landlord or Mortgage Co.

Reason for leaving

Phone #

Amount of Payment

EMPLOYMENT STATUS

Full Time Part Time Unemployed Student Retired

Employed by _ How long have you worked there

Address

Position

Monthly Income

Phone #

Supervisor

Other Source of Income

Amount

Source

PLEASE LIST NAME OF CONTACT PERSON(S) AND PHONE NUMBERS OF YOUR OTHER SOURCE OF

INCOME _____

CO-APPLICANT’S INFORMATION

LAST NAME _ FIRST

MI

JR/SR

SS#

DATE OF BIRTH

PHONE #

2

CURRENT ADDRESS

Street City State Zip

How Long at Current Address

Landlord or Mortgage Co.

Reason for leaving

Phone #

Amount of Payment

Previous Address

Street City State Zip

How Long at Previous Address

Landlord or Mortgage Co.

Reason for leaving

Phone #

Amount of Payment

EMPLOYMENT STATUS

Full Time Part Time Unemployed Student Retired

Employed by _ How long have you worked there

Address

Position

Monthly Income

Phone#

Supervisor

Other Source of Income

Amount

Source

PLEASE LIST NAME OF CONTACT PERSON(S) AND PHONE NUMBERS OF YOUR OTHER SOURCE OF

INCOME

Names of Other Residents Date of Birth Relationship to You

Property owners reserve the right to not accept certain breeds of dogs.

Do you have pets?

Breed

If so, how many?

Type

ADDITIONAL INFORMATION

Applicant’s Drivers License #

State Expiration Date

Co- Applicant’s Drivers License # State Expiration Date

3

VECHICLES

Auto Make Year Color Tag # State

Additional Vehicles

CREDIT INFORMATION

BANK (1)

ADDRESS

ACCOUNT #

BANK (2)

ADDRESS

ACCOUNT #

IN CASE OF EMERGENCY

Applicant’s Nearest Living Relative

Phone # _

Address

Relationship

Co- Applicant’s Nearest Living Relative

Phone #

Address

Relationship

We understand that a credit report will be ordered in conjunction with this rental application. In the event any

derogatory, inaccurate or unverifiable information is listed above or on our credit report, we understand that our

application to rent may be turned down by the Landlord. In our procedure for processing your application, an

investigative police report will be run. The total cost for the police and credit report will be $______.00. If there

are more than one applicant (for example, roommates) the cost is $______.00 per applicant for the credit report.

These inquires include information as to your character, general reputation, personal characteristics and mode

of living.

NOTICE: Applicant is advised that any property manager or broker is employed by and acting as agent for the

owner. In the event more than one applicant is received for the same property, the more qualified applicant

will be offered a lease on the property.

Applicant Date Applicant Date

DO NOT WRITE BELOW THIS LINE (OFFICE USE ONLY)

Monthly Rent

Possession Date

Approved By

Approval Date

4

Date

I, (We)

Hereby authorize the landlord/property manager/agent to pull up a new police and credit report in my (our)

name(s). The cost of the report is a non-refundable $ .00 fee, per applicant, which will be at my (our)

expense. Further, I (we) agree that the report is to be used only the landlord.

Signature Signature

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CREDIT REPORT INFORMATION

NAME:

First Middle Last

SOCIAL SECURITY # BIRTH DATE:

NAME:

First Middle Last

SOCIAL SECURITY # BIRTH DATE:

ADDRESS

Street City State Zip

PREVIOUS ADDRESS (if less than 2 years)

Street City State Zip

By signing the below, I (we) authorize the landlord or their representative to make inquires through the credit

bureau.

Date

6

Dear Employer/Supervisor:

Please assist us in the Verification of Employment of the application below. If you have any questions, please

call _______________. Thank You!

Name of Applicant(s):

Date of Employment:

Employer & Person Contracted:

Salary: Hourly $

Weekly $

OR Monthly $

Any Comments:

Employer/Supervisor Signature Date

Applicant represents all information in the Application to be true and accurate and authorizes owner/manager

and his/her/its employees and agents to verify said information in person, by mail, phone, fax or otherwise, to

determine Applicant’s rental, credit, financial, and character standing. Applicant hereby releases the

owner/manager, his/her/its employees and agents, the credit reporting agency, its employees and agents, and

any and all other firms or persons investigating or supplying information, from any liability whatsoever

concerning the releases and/or use if said information and further, will defend and hold them all harmless from

any suit or reprisal whatsoever. All holder, public and private, of any such information are hereby authorized to

release, without reservation or limitation, any and all such information they have concerning Applicant and in

so doing, will be acting on Applicant’s behalf at Applicant’s request and will be held blameless and without any

liability whatsoever. A copy, fax, or other reproduction of this Authorization shall be as effective as the original.

Date Applicant’s Signature Applicant’s Name PRINTED

Fillable Printable Colorado Rental Application

Fillable Printable Colorado Rental Application