Fillable Printable Sample Rental Application Form

Sample Rental Application Form

RENTAL APPLICATION

Please provide all of the information requested below. Incomplete information can delay the

processing of your application. PLEASE PRINT CLEARLY.

OCCUPANT(S)

Name Co-Applicant

SS# DL# SS# DL#

Date of Birth Date of Birth

Phone: Home

Work

Phone: Home

Work

Email: Email:

Any other occupants

Name Age Relationship Name Age Relationship

1) 1)

2) 2)

3) 3)

EMPLOYMENT HISTORY

Current Employer Co-Applicant Employer

Address Address

City, State, Zip City, State, Zip

Phone Phone

Supervisor Supervisor

Position Position

How Long How Long

Salary Salary

RENTAL HISTORY (No less than two years)

Present Address

Do you rent or own? Amount Paid Monthly

Reason for leaving

Landlord or Mortgage Company Name

Phone

Previous Address

Did you rent or own? Amount Paid Monthly

Reason for leaving

Landlord or Mortgage Company Name

Phone

BANKING REFERENCE

Name Phone

Address

Account No. Checking or Savings? Balance

PERSONAL REFERENCES

Name Name

Address Address

City, State, Zip City, State, Zip

Relationship Relationship

Phone Phone

OTHER INFORMATION

Pets (describe)

Water-filled furniture (describe)

Vehicles/boats to be parked on premises (make/model/year/license #):

In the past, have you been delinquent in paying rent or other financial obligations? If yes,

please explain:

In the past, have you failed to perform any obligations of a rental agreement or have you

been a defendant in an eviction lawsuit? If yes, please explain:

The information on this application is true and correct to the best of my knowledge. I hereby

authorize __________________________________ or agents to verify the above

information and obtain consumer or investigative credit report, criminal background report,

and/or eviction records from E-Renter USA. I understand that the $_________ fee for

verifying this rental application is not a deposit, will not be applied to any rent, or refunded

even if the application to rent is declined.

ALL APPLICANTS MUST SIGN BELOW:

Signature: Date:

FOR OFFICE USE ONLY:

Note: advise the applicant to authorize employees, bank, and landlords to release all relevant information to E-

Renter.

Remarks:

Move in date: Unit: Unit Type: Rent $

Disclaimer:

Any forms or information provided by E-Renter USA, on this page or any other form from our site, is not

intended to replace legal advice. You are advised to consult an attorney in your area, and to check all local

and state regulations