TENANT PERSONAL AND CREDIT INFORMATION

Name

 

Date of Birth
Social Security # Driving License #  

Present Address

City

State/ Zip

Business Phone

Home Tel

Cellphone
How long at present address? If less than 2 yrs, previous address  
Car make/ model Year Car Tag #
     
OCCUPATION Current occupation Prior occupation
Employer    
Business address    
Business phone/ cellphone    
Type of business    
Position held    
Name/title supervisor/ reference contact    
How long in business    
Monthly gross income    
     
LANDLORD REFERENCE    
Landlord 1 Address Cellphone
Landlord 2 Address Cellphone
     
PERSONAL REFERENCE    
Name Relationship Cellphone
Name Relationship Cellphone
     
NEAREST RELATIVES    
Name Relationship Cellphone
Name Relationship Cellphone
     
Have you ever filed a petition for bankruptcy?     YES/ NO
Have you ever been evicted from any tenancy?     YES/ NO
Have you ever refused to pay any rent when due?     YES/ NO
Have you been late for a rent payment?    YES/ NO
Have you had an eviction notice served on you?    YES/ NO


I DECLARE THE FOREGOING IS TRUE AND CORRECT AND I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT. I agree that my Landlord may terminate any agreement entered into in reliance on any misstatement made above.   Notice: Any credit application fee provided for this application is non-refundable.

Applicant signature_____________________________        Dated___________