RENTAL  APPLICATION FORM

Name of Applicant:_______________________________Social Security Number:_______________

Name of Co-Applicant/Spouse:_____________________ Social  Security Number:_______________

Number in Family: (must be immediate family members only):_____________

Current Address:_______________________________________Phone:______________________

Email Address:_________________________________________

Work Phone Number:______________________ Employer:________________________________

Do You Presently: Rent:________ Own Your Home:___________

Monthly rent Currently Paying:____________ Monthly Mortgage Payment:___________

Current Land Lord’s Name:___________________________________

Land Lord’s Address:___________________________________ Phone Number:______________

How Long at Current Residence:__________Months     _____________Years

How Long at Current Job:__________

If Employed Less Than 2 Years At Present Job, List Previous Two Employers Below:

List Three (3) Credit References, Include Phone Numbers:

Applicant acknowledges a credit report may be obtained for the purpose of certifying credit history of  renter/applicant. A fee of $50.00 shall be paid by applicant to cover cost of report,if necessary, prior to signing  rental agreement.

Signature Applicant:_______________________________________Date:____________________

Signature Co-Applicant:____________________________________Date:____________________