Lease Application

Property Address:
Estimated Move-In Date:


APPLICANT:

Full Legal Name:
Home Phone #:
Work Phone #:

Social Security #:

Date of Birth:
Drivers License #:
Current Address:
City, St, Zip:
Move-In Date:
Move-Out Date:
Landlord/Manager Name:
Landlord/Manager phone #:
Monthly Rent Amount:


EMPLOYMENT INFORMATION:


Name of Company:

Address:
City, St, Zip:
Supervisor/Manager's Name:
Supervisor/Manager's Phone #:

Position:
How long have you been at your current job:
Net Salary per month:
Yearly Salary (Gross):


PREVIOUS ADDRESS: (if at current residence < 2 years)

Address:
City, ST, Zip:
Move-In Date:
Move-Out Date:
Landlord/Mgr Name:
Landlord/Mgr Phone #:
Monthly Rent:


PREVIOUS EMPLOYER:


Name of Company:

Address:

City,ST,Zip:

Spvsr/Mgr Name:

Spvsr/Mgr Phone number:

Position:
Yearly Salary:
Name of Co-applicant and others who will occupy the property:
Relationship to Applicant/Age:
Other persons who will occupy property:
Relationship to Applicant/Age:
Other persons who will occupy property:
Relationship to Applicant/Age:
Representation:
Applicant and Co-Applicant represent that the above statements are true and complete. Providing false information is grounds for rejection, termination of lease, and retention of money tendered to Landlord as liquidated damages.
Authorization:
Applicant and Co-Applicant authorize Landlord and Landlord's broker to: (1) obtain a copy of any consumer or credit report related to this application; and (2) verify any rental history, employment history, or any other information related to this application; and (3) discuss information in the consumer report with Landlord and Landlord's broker; and (4) Consider my e-mail signature as my handwritten signature as approval to obtain the above credit information needed to qualify me for the home I am applying for.