PERSONAL INFORMATION
Date ___________
Property Applied for
_________________________________date lease to start_____________
How many will live at property? Adults____ Children____ Pets_____
Name: last
_________________________First___________________middle_______________
Telephone: day____-____-_____ evening____-____-_____ Date
of Birth__________________
Social Security No._____-____-_______ Driver's License
No.__________________State______
Current resident
Reason for leaving_______________________________
_____________________________________________________________________________
street address
apt # city
state
zip code dates rent
amount
Landlord
phone
Previous resident
Reason for leaving_______________________________
_____________________________________________________________________________
street address
apt # city state zip code dates rent
amount
Landlord
phone
Employment
Current Employer
____________________________Position_____________________________
Supervisor _________________________________Phone
No._____-______-________
Dates of employment____________________
GrossMonthly Salary____________________
Previous Employer __________________________ Dates of
employment_____________________
Previous supervisor __________________________Phone
No._____-______-__________
CREDIT INFORMATION
Bank Name ____________________________Checking Account No.
______________________
______________________________________________________________________________
street address
city
state
phone#
PERSONAL REFERENCES
_____________________________________________________________________________
Name Address City/State Phone
No. Relationship
_____________________________________________________________________________
Name Address City/State Phone
No. Relationship
OTHER INFORMATION
Number of vehicles (including company cars) ____________
Make/Model Year
Color Tag No. State
_____________________________________________________________________________
_____________________________________________________________________________
HAVE YOU EVER
1. Filed for bankruptcy _____yes _____no If yes,
when?_____________________________
2. Been served an eviction notice or been asked to vacate a property
you were renting? yes no
3. Willfully or intentionally refused to pay rent when due? ____yes
____no If yes, when?________
IN CASE OF EMERGENCY
Name of person to be informed
__________________________Relationship________________
Address__________________________City/State____________ Phone
No.____________
SPOUSE OR PARENT INFORMATION (Unmarried U of A students are
required to have a parent co-sign application and lease.)
Name: last
___________________First______________middle_______ Date of
birth___________
Address________________________________________________________________________
street address
apt #
city
state
phone
Social Security No._____-____-_______ Driver's License
No.__________________State_______ Employer____________________________________Position____________________________
Supervisor ___________________________________Phone
No.__________________________
Dates of employment ___________________________MonthlySalary_______________________
Bank Name ____________________________Checking Account No.
______________________
______________________________________________________________________________
bank street address
city
state
phone#
_____________________________________________
________________________
APPLICANT'S
SIGNATURE
DATE
_____________________________________________
________________________
CO-SIGNER'S
SIGNATURE
DATE
