Fillable Printable Indiana Standard Rental Application
Fillable Printable Indiana Standard Rental Application
Indiana Standard Rental Application
INDIANA RENTAL APPLICATION
AN APPLlCATlON FEE OF $________ MUST
ACCOMPANY THE APPLICATlON AT THE
TIME IT IS TURNED INTO CPW PROPERTIES,
LLC. THIS FEE IS NONREFUNDABLE,
WHETHER
APPLICATION IS APPROVED OR DENIED.
FULL NAME:
ADDRESS:
ZIP CODE:
BIRTHDATE:
PHONE:
HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE:
EMPLOYER'S NAME & PHONE:
GROSS INCOME PER MO.:
SOCIAL SECURITY NO.:
HOW MANY MONTHS / YEARS AT CURRENT JOB:
PI
·
IONE
NO. AND NAME OF NEAREST RELATIVE TO NOTIFY IN CASE OF EMERGENCY:
DATE:
.SIGNATURE:
FULL NAME:
ADDRESS:
ZIP CODE:
BIRTHDATE:
PHONE:
HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE:
EMPLOYER'S NAME &. PHONE:
GROSS INCOME PER MO.:
SOCIAL SECURITY NO.:
HOW MANY MONTHS / YEARS AT CURRENT JOB:
PI
·
IONE
NO. AND NAME OF NEAREST RELATIVE TO NOTIFY IN CASE OF EMERGENCY:
DATE:
SIGNATURE:
UPON SIGNING THE APPLICATION APPLICANT GIVES APPROVAL FOR TO RUN A
CREDIT CHECK. IF APPLICANT LEASES FROM , APPLICANT GIVES APPROVAL
TO RELEASE RENTAL HISTORY INFORMATION TO PERSONS VERIFYING SUCH INFORMATION..
ADDITIONALLY, APPLICANT GIVES PERMISSION TO OBTAIN AND/OR REQUEST
ANY INFORMATION NECESSARY TO VERIFY THE ACCURACY GIVEN AS PART OF THE
APPLICATION.
NUMBER
OF
PEOPLE
TO
LIVE
IN
UNIT,
AND
NAMES
OF
ONES
NOT
LISTED
ABOVE:
YEAR AND MODEL OF VEHICLE(S):
LICENSE PLATE NUMBER:
DO YOU HAVE PETS?
HOW MANY?
REFERENCES
·
PREVIOUS LANDLORD(S) - NOT RELATIVES OR FRIENDS:
NAME:
ADDRESS:
YOUR ADDRESS AT THIS LOCATION:
ZIP CODE:
DATE LIVED AT THIS LOCATION • FROM:
TO:
PH:
NAME:
ADDRESS:
YOUR ADDRESS AT THIS LOCATION:
ZIP CODE:
DATE LIVED AT THIS LOCATION • FROM:
TO:
PH:
IF ACCEPTED AS RESIDENT, RESIDENT TS RESPONSlBLE 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 PROVIDED ON THE APPLICATION, AFTER
TWENTY-FOUR (24) HOURS, THE APPLICATION WILL BE CONSIDERED VOID. THE UNIT
APPLICANT IS APPLYING FOR WILL BECOME AVAILABLE FOR RENT TO OTHER APPLICANTS.
APPLICANT HAS TWENTY-FOUR (24) HOURS, AFTER , HAS NOTIFIED THEM
THAT APPLICATION HAS BEEN APPROVED TO PAY THE SECURITY DEPOSIT TO HOLD THE UNIT
AVAILABLE. IF DEPOSIT IS NOT PAID TO WITHIN THAT TIME, THE
APPLICATION IS CONSIDERED VOID.
IF APPLICANT AT ANY TIME PUTS DOWN A SECURITY DEPOSIT, APPLICATION IS APPROVED, AND
THE APPLICANT CHANGES HIS/HER MIND FOR ANY REASON, THE SECURITY DEPOSIT WILL NOT
BE RETURNED, BUT WILL BE KEPT BY .
IN COMPLIANCE WITH THE INDIANA FAIR HOUSING ACT, DOES NOT DENY
ANYONE HOUSING BECAUSE OF 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
EMPLOYMENT, TO , OF , INDIANA. THE
INFORMATION WILL BE FROM MY CURRENT PLACE OF EMPLOYMENT,
WHICH IS:
LIST EMPLOYER(S) NAME & PHONE:
APPLICANT'S SIGNATURE
DATE
*****************************
EMPLOYER (INFORMATION FILLED OUT BY EMPLOYER ONLY.)
EMPLOYER PLEASE PROVIDE THE FOLLOWING INFORMATION:
1. 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
It would be very helpful to us, if you would take the time to check the appropriate line below.
How did you hear about CPW Properties, LLC?
Newspaper Advertising
Sign in Yard
Apartment Shoppers Guidebook
Apartmentguide.com - Internet
Individual Referral
Name of Individual:
Herald Times Rentals – Internet
Herald Times Rental Book
Rentbloomington.net - Internet
Rental Verification
Form
DATE:
_
NAME:
_
•
I, , consider this letter authorization to release any
information on my past rental history to of ,
Indiana.
The information will be from my address at the following
residence(s):
Applicant's Signature
Applicant's
Signature
************************************
INF'ORMATION BELOW TO BE FILLED OUT BY
LANDLORD ONLY.
Please provide the following
information:
1. Amount of rent:
_
4. Proper notice given: Circle Yes
No
2. Length of residency:
5. Would you re-rent: Circle Yes No
3. Rent paid on time: Circle Yes
No
If no, amount of late pays:
_
Landlord's Signature
Date
6. Problems or complaints: Circle Yes
No
If yes, please explain:
_
Title
