Tenant Services (Properties for Lease Application)

Property Address In Question:

First Name:

Middle Name:

Last Name:

Social Security Number:

Date of Birth:
JanFebMarAprMayJunJulAugSepOctNovDec

Driver License Number:

Driver License State:

Driver License Expiration Date

Home Phone:

Work Phone:
Ext

Mobile Phone:

Fax Number:

Email Address:

Spouse Information

Spouse First Name:

Spouse Middle Name:

Spouse Last Name:

Social Security Number:

Date of Birth:
JanFebMarAprMayJunJulAugSepOctNovDec

Driver License Number:

Driver License State:

Driver License Expiration Date

Home Phone:

Work Phone:
Ext

Mobile Phone:

Fax Number:

Email Address:

Current Address Information

Current Address:

Apt/Unit Number:

State:

Zip:

Own or Rent:

Manager/Landlord Name:

Manager/Landlord Phone:
Ext

Move In Date:

Move Out Date:

Current Monthly Rent:

Reason for Move:

Previous Address Information

Previous Address:

Apt/Unit Number:

State:

Zip:

Own or Rent:

Manager/Landlord Name:

Manager/Landlord Phone:
Ext

Move In Date:

Move Out Date:

Current Monthly Rent:

Reason for Move:

Pet Information

Pets:

If yes, describe pets (male, female, breed, spayed/neutered,
age):

Employment Information

Self Employed:

Employer:

Address:

City:

State:

Zip:

Date Hired:

Position:

Supervisor's Name:

Employer Phone:
Ext

Monthly Income before taxes:

Spouse Employment Information

Spouse Self Employed:

Employer:

Address:

City:

State:

Zip:

Date Hired:

Position:

Supervisor's Name:

Employer Phone:
Ext

Monthly Income before taxes:

Other Income Information

Other Source of Income:

Monthly Amount:

Person to Verify Amount:

Phone:
Ext

Total Monthly Income From All Sources:

Other Occupants

Please list all proposed occupants in addition to yourself and your spouse.

Name:

Age:

Name:

Age:

Name:

Age:

Name:

Age:

Name:

Age:

Name:

Age:

Please answer the following questions:

Have you or any occupant ever broken a lease?
YesNo

If yes, date

If yes, details

Have you or any occupant ever convicted of a felony?
YesNo

If yes, date

If yes, details

Have you or any occupant ever removed from a rental by
forcible action or any other legal action?
YesNo

If yes, date

If yes, details

Please answer the following questions:

Address

City

Date you wish to occupy home

Agreement
By submitting this application, you are accepting the following
terms. You are declaring that all of the information on this
application is true and correct. You give the landlord the
authority to verify all information and request a report from a
credit reporting agency. Houses may be held for future
occupancy with a deposit.

Type Characters: