RENTAL APPLICATION

NOTE: If you intend to apply with a co-tentant, you will also need to submit an application for them.

Today's Date:

Name

SSN

Driver's License Number

Expiration Date

Phone

Email

Current Street Address

City

State

ZIP

How long have you lived here?

Current Rent:

Lease Expires:

Paid Through:

Landlord:

Phone:

EMPLOYMENT Current Occupation:

How long:

Monthly Take-Home Income:

Employer:

Supervisor:

Phone

Prior Occupation:

How long:

Monthly Take-Home Income:

Employer:

Supervisor:

Phone

CREDIT Bank Name:

***LIST ALL LOAN AND CREDIT CARD BALANCES AS WELL AS MONTHLY PAYMENTS. (If there are none, please designate "NONE."

Phone

Account Number:

Contact Person:

List all current loans and credit card balances:

1. Credit Card or Loan Issuer:

Account Number:

Monthly Payment:

Current Loan/Balance Amount:

2. Credit Card or Loan Issuer:

Account Number:

Monthly Payment:

Current Loan/Balance Amount:

Credit Score (To Be Verified)

Do not use family members. Give how reference is known to you.

PERSONAL REFERENCES Name:

Phone

Street Address / City / State / Zip

Name

Phone

Street Address / City / State / Zip

ADDITIONAL INFO Reason For Leaving Current Residence:

Total number of people that applicant proposes as occupants:

If more than applicant, please explain:

Note: Any Co-tenants must submit a separate application.

Any Pets?

Yes

No

Smoker?

Yes

No

Have you ever filed a petition for bankruptcy?

Yes

No

Have you ever been evicted from any tenancy?

Yes

No

If yes, explain:

Have you ever refused to pay any rent when due?

Yes

No

If yes, explain:

Have you ever been convicted of, pleaded guilty to, or entered a plea of no contest to any felony or misdemeanor?

Yes

No

If yes, explain:

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT. I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CONSUMER CREDIT REPORT AND SUCH BACKGROUND CHECKS AS DEEMED APPROPRIATE BY LANDLORD TO VERIFY INFORMATION PROVIDED ON THIS APPLICATION.

Yes

No

I agree that the Landlord may terminate any agreement entered into in reliance on any misstatement made above.

Yes

No

APPLICANT:

Full Name

RENTAL APPLICATIONshorepropertyrentals@gmail.com