Fillable Printable Indiana Rental Application

Indiana Rental Application

FULL NAME: _________________________________________________________________________________

ADDRESS: _______________________________________________________ PHONE: ____________________

ZIP CODE: ________________________________ BIRTHDATE: ______________________________________

HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE: ______________________________________

EMP LOYER'S NAME &. PH ONE :

_____________________________________________________________________________________________

GROSS INCOME PER MO.: _____________HOW MANY MONTHS / YEARS AT CURRENT JOB: _________

SOCIAL SECURIT Y NO. : ___________________________

PI· I ONE NO. AND NAME OF NEAREST RELATI VE TO NOTIFY IN CASE O F EM ERGENCY:

_____________________________________________________________________________________________

DATE: ____________ .SIGNATURE: _____________________________________________________________

FULL NAME: _________________________________________________________________________________

ADDRESS: _______________________________________________________ PHONE: ____________________

ZIP CODE: ________________________________ BIRTHDATE: ______________________________________

HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE: ______________________________________

EMP LOYER'S NAME &. P HONE:

_____________________________________________________________________________________________

GROSS INCOME PE R MO.: ______ ___ ___ _HOW MANY MONTHS / YEARS AT CURRENT JOB: _________

SOCIAL SECURITY NO.: ___________________________

PI· I ONE NO. AND NAME OF NEAREST RELATI VE TO NOTIFY IN CASE O F EM ERGENCY:

_____________________________________________________________________________________________

DATE: ____________ .SIGNATURE: _____________________________________________________________

UPON SIGNI NG THE APPLICATION APPLICANT GIVES APPROVAL )257+(/$1'/25' TO RUN A

CREDIT CHECK. I F APP LI CAN T LEASES FROM 7+(/$1'/25'7+( APPLICANT GIVES

APPROV AL T O RELEASE RENTAL HISTORY INFORMATION TO PER SONS VERIFYING SUCH

INFORMATION.. ADDITIONALLY, AP PLICANT GIVES 7+(/$1'/25' PERMISSION TO

OBTAIN AND/OR REQUES T ANY INFORMATION NECESS ARY TO VERIFY THE ACCURACY GIVEN AS

PART OF THE APPLICATION.

NUMBER OF PE OPLE TO LI VE I N UNIT, AND NAMES OF ONES NOT LISTED ABOVE:________________

_____________________________________________________________________________________________

YEAR AND MODE L OF VEHICLE(S): ____________________________________________________________

LICENSE PLATE NUMBER: ____________________________________________________________________

NO VEHIC LES WHICH CREAT E A NUISANCE EITHER VISUAL OR AUDIBLE. N O MORE THAN 3

VEHICLES PER UNIT.

DO YOU HAVE PETS? _____ HOW MANY? ____ (NO MORE THAN 2 INSIDE P ET S ONLY DOG OR CAT-

AND, IF IT IS A DOG - 3 0 POUNDS OR LESS FUl.LY GROWN. A ONE TIME NONREFUNDABLE PET FEE

OF $BBBBBBBBB REQUIRED.)

REFERENCES· PREVIOUS LANDLORD(S) - NOT RELATIVES OR FRIENDS:

NAME: ______________________________________________________________________________________

ADDRESS: _________________________________________________________________PH: ______________

YOUR ADD R ESS AT THIS LOCATION: __________________________________________________________

ZIP CODE: ____________________________________

DATE LIVED AT THIS LOCAT I ON • FROM: ____________ TO: _______________

NAME: ______________________________________________________________________________________

ADDRESS: _________________________________________________________________PH: ______________

YOUR ADD R ESS AT THIS LOCATION: __________________________________________________________

ZIP CODE: ____________________________________

DATE LIVED AT THIS LOCAT I ON • FROM: ____________ TO: _______________

IF ACCEPTED AS RESIDENT, RESIDENT TS RESPONSll3LE FOR NOTIFYING MANAGEMENT OF ANY

OF ABOVE INFORMATION CHANGES,

IF APPLICANT TURNS IN AN APPLICATION, AND CANNOT BE REACHED BY PHONE, AT THE PHONE

NUMBER PROVIDE D ON THE APPLICATION, AFTER TWENTY-FOUR(24) HOUR S, THE APPLICAT I ON

WILL BE CON SIDERED VOID. THE UNIT APPLICANT IS APPLYING FOR WILL BECOME AVAILABLE

FOR RENT TO OT HE R APPLICANTS.

APPLICANT HAS TWENTY-FOUR (24) HOURS, AFTER 7+(/$1'/25' HA

S NOTIFIED THEM

AT APPLICAT I ON HAS BEEN APPROVED TO PAY THE SECURITY DEPOSIT TO HOL D THE UNIT

AVAILABLE. IF DEP OSIT IS NOT PAID TO 7+(/$1'/25' WITHIN THAT TIME, THE

APPLICATION IS CONSIDE RED VOID.

IF APPLICANT AT ANY TIME PUTS DOWN A SEC URITY DEPOSIT , APPLICATION IS AP PROVED, AND

TH E APPLICANT CHANGES HIS/HER MIND FOR ANY REASON, THE SECURITY DEPOSIT WILL NOT

BE RETURNED, BUT WILL BE KEPT BY 7+(/$1'/25'

7+(/$1'/25',6 IN COMPLIANCE WITH THE INDIANA FAIR HOUSING ACT, DOES NOT

DENY ANYONE HOU SING BECA USE O F RACE, RELIGION COLOR, SEX, DISABILITY, NATIONAL

ORIGIN, OR FAMILIAL STATUS.

INCOME VERIFICATION FORM

FOR RENTAL APPLICATION

I, ___________________________________ , CONSIDER THIS LETTER AUTHORIZATION TO

RELEASE INFORMATION ON THE AMOUNT OF MY INCOME AND DATE OF

EMP LOYMENT, TO 7+(/$1'/25' O F BBBBBBBBBBBBBBBBBBBBBBBB, INDIANA.

THE INFORMATION WILL BE FROM MY CURRENT PLACE OF EMPLOYMENT,

WH IC H IS :

LIST EMPLOYER(S) NAME

& PHONE: __________________________________________

__________________________________________

APPLICANT'S SIGNATURE

____________________

DATE

*****************************

EMPLOYER (INFORMATION FILLED OUT BY EMPLOYER ONLY.)

EMPLOYER PLEASE PROVIDE THE FOLLOWING INFORMATION:

DATE OF EMPLOYMENT: ________________

2. GROSS INCOME PER MONTH OR YEAR (PLEASE INDICATE) _____________________

____________________

DATE

__________________________________________ ________________________

EMPLOYER'S SIGNATURE

& COMPANY NAME TITLE

THANK YOU IN ADVANCE FOR YOUR TIME