Rental Application/Credit Check

* PLEASE NOTE  THE  APPLICATION PROCESSING FEE

Fill this out, print this form, and bring it with you when you look at the house.

 

Rental History:

Principal Applicant   Phone Phone

Co-applicant      (Co-applicant details listed on back)

Children’s Names & Ages     

Total # of Occupants  

Pets:  Do you have or expect to have any pets  [ ]  Yes    [ ]  No

If so, what kind, sex, age?  

Does any occupant smoke?  [  ] Yes   [  ]  No

Your Current  address  

Present Landlord/Manager/Caretaker      Phone  

From:   To:Now    Rent/mo.     

Reason for leaving  

Previous Address:  

Landlord/Manager/Caretaker      Phone  

Credit History:

Employer      Your work phone  

How long?     Salary/wage     Position  

Business Reference (boss)      Phone  

May I contact him/her?          [ ]Yes      [   ] No          Social Security #

I Bank at      Branch  

checking [ ], savings [ ], other [ ]

Auto/make/license #     

Drivers Lic.#  

Total # of vehicles (including Boats, Motorcycles, Cars, Snowmobiles, etc.):  

In case of sickness or accident notify  

Address & City      Phone  

  1. Y         Has any applicant declared bankruptcy in the last 10 years?   [ ] Yes   [ ]  No. If yes, brief explanation.  Has any applicant had an Unlawful Detainer Action or a Criminal Court action in the last 7 years?  [ ] Yes [ ] No, if yes, brief explanation please.  Did it go to Court?  What was the decision?  Have you hade any judgements against you?  [ ] Yes   [ ]  No.                                      A court action will not automatically disqualify you, but we do search Civil and Criminal Records.

  

Signature________________________________________     Date______________________________

Signature________________________________________     Date______________________________

 

Co-applicant Rental History: (If different than principal applicant)

Name      Phone   Phone  

Your current address  

Present Landlord/Manager/Caretaker      Phone  

From:     To: Now   Rent/mo.     

Reason for leaving  

Previous address     

From:    To:  

Landlord/Manager/Caretaker      Phone  

Co-applicant Credit History:

Employer      Your Work Phone  

How Long?      Salary/wage     

Position   Social Security #  

Business Reference (boss)      Phone  

I Bank at      Branch     

checking [ ], savings [ ], other [ ]

Auto/make/license #  

In Case of Sickness or accident notify  

Address & City      Phone  

Are you willing to sign a rental agreement now?  [ ] Yes       [ ] No

$25 credit / background check processing fee is required with this application. This fee is not refundable.

 

If the rental unit is exclusively offered to you (subject to acceptable credit/background check results) an earnest money deposit of  $_________ is required to not consider other applications while your application is processed. You will be given a receipt for the deposit. The deposit will be credited toward rent if you are accepted as a renter. The earnest money deposit will be refunded if you are not accepted. The earnest money deposit will be held as liquidated damages if you are accepted as a renter, but fail to perform on the rental agreement.

   Total moneys received ____________           [     ] Cash     [     ] Check     [     ] Not taken

 
Created by Amy Cullen Designs 2008