rental application - please print, fill out and bring with you 
when you come to visit the property.  Thanks.  Fill out a separate 
application for each adult
date ________________ 
Name _________________________________ Date of Birth ___________________
Mailing Address _______________________City __________ ST ____ Zip________
Home ph#__________________ Work #_________________ Pager #____________
Mobile#__________________Fax # _______________ Other#__________________
Email ________________________________________________________________
SSN _______________________ Driver License #____________________ ST _____
Children and ages
__________________________________________Citizenship__________________
Car Make / Model / Year ____________________ License Plate ___________
Present Landlord ________________________________ Phone _________________
Address _______________________________________ How Long? ____________
Previous Landlord ________________________________Phone ________________
Address _______________________________________ How Long? _____________
2nd Prev Landlord _______________________________ Phone ________________
Address _______________________________________ How Long? _____________

Nearest Relative _________________________________ phone _________________
Address ______________________________________________________________ 

Employer ________________________________________ Phone _______________
Position __________________________________________Salary _______________
Address _________________________________________ How Long? ___________

Reference 1 _______________________________________ Phone _______________
Reference 2 _______________________________________ Phone _______________
Reference 3 _______________________________________ Phone _______________

Pets _________________________________________________________________
Bank Name ____________________________________ Acct No ________________
Bank Name ____________________________________ Acct No ________________
VISA (circle) yes/no 	MC yes/no 	AMEX yes/no DISC yes/no 
High School ______________________________ City/ST _______________________
College __________________________________City/ST _______________________
Year(s) Graduated ______________ Degree __________________________________
Ever been Evicted? Y N  Ever Been in Litigation with a Landlord? Y N 
Emergency Contact (Name, Addr, Phone, Relation to You)
________________________
______________________________________________________________________
Parents’ Name(s) ________________________________________________________
Address(es)_____________________________________________________________
Brothers/Sisters Names
____________________________________________________

The undersigned hereby attest that the above information is true.
______________________________________ Date___________________________