Rental Application

Rental Application

Total Rent	$_________	Total Each	$_________
Total Deposit	$_________	Total Each	$_________

Property Address

Unit #

Property Code

1.	___________________________________________________________			Renewal [ ]	TENANT CODE	_______	Date	Ck # called
	Name	Social Security #			Deposit owed	$______	/ /
	___________________________________________________________			ENTERED	Balance owed	$______	/ /
	Local Address		Local Phone	__/__/__	Balance owed	$______	/ /
	___________________________________________________________			MOVED IN	Balance owed	$______	/ /
	Home Address		Home Phone	__/__/__	Balance owed	$______	/ /

2.	___________________________________________________________			Renewal [ ]	TENANT CODE	_______	Date	Ck # called
	Name	Social Security #			Deposit owed	$______	/ /
	___________________________________________________________			ENTERED	Balance owed	$______	/ /
	Local Address		Local Phone	__/__/__	Balance owed	$______	/ /
	___________________________________________________________			MOVED IN	Balance owed	$______	/ /
	Home Address		Home Phone	__/__/__	Balance owed	$______	/ /

3.	___________________________________________________________			Renewal [ ]	TENANT CODE	_______	Date	Ck # called
	Name	Social Security #			Deposit owed	$______	/ /
	___________________________________________________________			ENTERED	Balance owed	$______	/ /
	Local Address		Local Phone	__/__/__	Balance owed	$______	/ /
	___________________________________________________________			MOVED IN	Balance owed	$______	/ /
	Home Address		Home Phone	__/__/__	Balance owed	$______	/ /

4.	___________________________________________________________			Renewal [ ]	TENANT CODE	_______	Date	Ck # called
	Name	Social Security #			Deposit owed	$______	/ /
	___________________________________________________________			ENTERED	Balance owed	$______	/ /
	Local Address		Local Phone	__/__/__	Balance owed	$______	/ /
	___________________________________________________________			MOVED IN	Balance owed	$______	/ /
	Home Address		Home Phone	__/__/__	Balance owed	$______	/ /

Are applicants over the age of 18?_____________________
Who is your contact person?_________________________

To persons applying for a lease understand that this form is only an application to lease. It is not a lease agreement. And, it is not an agreement by either the person making application or the landlord [landlord's Representative] to enter into a lease agreement. By making this application, permission is granted for credit/reference checks to be made.