Fillable Printable Louisiana Rental Application Form
Fillable Printable Louisiana Rental Application Form
Louisiana Rental Application Form
LOUISIANA RENTAL APPLICATION
Equal Housing Opportunity. Please Complete All Information
Bel
ow.
Applicants
Full
Name
Phone
#
DOB
Social
Security
#
Drivers
License
#
State
Exp.
Current
Address
City
State
Zip
Current
Landlords
Name
Phone
#
How
long
at
this
address
Reason
for
leaving
Previous
Address
City
State
Zip
Previous
Landlords
Name
Phone
#
How
long
at
this
address
Reason
for
leaving
Auto
Yr
Make
Model
State/License
Plate
#
Employer
Position
Income
Employers
Address
City
State
Phone
#
How
long
at
job
Other
income/source
Do you allow smoking in the home? [ ] Yes [ ] No Have you ever been evicted? [ ] Yes [ ]
No
Have you ever been convicted? [ ] Yes [ ] No If Yes to any of these, you may explain on the reverse of
application.
Preferred
move-in
date
Number
and
type
of
Pets
Name
of
bank
Branch
Type
of
Account
Name
of
bank
Branch
Type
of
Account
Personal
References
Name
Yrs.
Known
Relationship
Phone
#
Name
Yrs.
Known
Relationship
Phone
#
Name
Yrs.
Known
Relationship
Phone
#
Total
number
of
adults
,
total
number
of
children
living
with
you
under
the
age
of
18
Names and relations of all other applicants ,
,
,
,
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all
s
tateme
n
t
s
contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the
la
nd
l
ord
may terminate any rental agreement entered into for any misrepresentations made
a
bov
e
.
Applicant
Signature
Date
Landlord or Representative received from applicant a deposit of
$
dollars, of which $ will be non-refundable and
us
e
d
for application and tenant screening services. The balance will be applied to the remaining deposit due, or refunded if the applicant
i
s
no
t
a
pprov
e
d.
In
iti
a
l
