RENTAL APPLICATION & INFORMATION

Name:

Age:

Date of Birth:

Cell Phone #:

Email:

Current Address

Street:

City:

State:

Zip:

Landlord at current address

Permanent Address

Street:

City:

State:

Zip:

Phone #

Person to contact in an Emergency

Phone:

Relationship:

Current Employment

Name:

Address:

Phone:

Do you have a vehicle? Check one

YesNo

Vehicle Make/Year:

Color:

License #:

Did one of our tenants refer you to us?

YesNo

Who?

I declare that the statements above are true and accurate. I authorize use of my information as it relates to my tenancy, utility accounts, and to future rent collections.

Date:

Signed: