Fillable Printable South Dakota Rental Application Form
Fillable Printable South Dakota Rental Application Form
South Dakota Rental Application Form
SOUTH DAKOTA RENTAL APPLICATION
Landlord
Date
Location
of
Residence
TENANT
INFORM
A
TION
:
Full
Name
Home
Phone
(
)
Work
Phone
(
)
Cell
Phone
(
)
Date
of
Birth
Social
Security
No.
Drivers
License
No.
State
Co-Applicant
Name
Co-Applicant
Date
of
Birth
Co-Applicant
Social
Security
No.
Names and Ages of everyone who will live in the
residence
List
all
pets
Email
Address
Vehicle
Make/Model
Year
License/State
EMPLOYMENT
INFORM
A
TION
:
Applicants Employment Status Full Time Part Time Student
Unemployed
Employer
Address
Job
Title
Dates
employed
Supervisor
Name
Phone
(
)
Monthly
Pay
If you would like us to consider other sources of income for this Rental Application, please list
the
amount and the person we may contact for confirmation. Please do not reveal alimony, child
support, or anyone else’s income unless you want us to consider it in this South Dakota
Rental
Application.
Amount
$
Contact
Name
RESIDENTIAL HISTORY FOR LAST 3
YE
ARS
:
Current
Address
Move
In
Date
Rent
$
Owner/Agent
Phone
(
)
Reason
for
Leaving
Previous
Address
Move
In
Date
Move
Out
Date
Rent
$
Owner/Agent
Phone
(
)
Reason
for
Leaving
Previous
Address
Move
In
Date
Move
Out
Date
Rent
$
Owner/Agent
Phone
(
)
Reason
for
Leaving
CREDIT
HISTORY
:
Have
you
every
filed
bankruptcy?
Yes
No
Have
you
ever
been
evicted
from
a
rental
residence?
Yes
No
Are
you
a
party
to
any
lawsuits?
Yes
No
Have
you
had
any
late
rental
payments
in
the
last
year?
Yes
No
Are
there
any
judgments
against
you?
Yes
No
If you answered yes to any of the above questions, please
explain
REFERENCES:
Bank
Re
f
e
r
e
n
c
e
s
Bank
Name
Account
Type
Account
No.
Bank
Name
Account
Type
Account
No.
Credit
Re
f
e
r
e
n
c
e
s
Name
Phone
(
)
Name
Phone
(
)
Name
Phone
(
)
By my signature below, I represent that all of the information that I have disclosed in this
South
Dakota Rental Application is true, accurate, and complete. I acknowledge that all of
the
information I have disclosed is material and Landlord is relying on the information to
decide
whether to grant or deny this
Application.
NAME
DATE
NAME
DATE
AU
THOR
I
Z
AT
I
ON
I
authorize Landlord
to order and review my
credit
and
criminal history
a
nd
investigate
the
accuracy
of
all information contained
in this South Dakota
Rental
Application.
I
further authorize all
banks,
employers,
and
creditors
to
p
r
o
v
id
e
Landlord
any and
all information concerning
my
c
r
e
di
t
.
NAME
_________________________________
DATE
_______________________
NAME
_________________________________
DATE
_______________________
!!
