| Personal Information
Date: Name: Address: Phone Number: |
Source
of Income:
Employer Name Address & Phone Number: |
| Personal References
(List the name, address, and phone number of two references who are not related to you): 1.
2.
|
Previous
Landlord References
(List the name, address, and phone number of two previous landlords): 1.
2. |
| Leasing Information
How long have you been renting your present dwelling? Are you currently on a lease agreement or monthly rental basis? Y N Are you required to give a 30 day notice before you can move out? Y N How long do you plan to occupy this unit? Do you have any pets? Do you smoke? Y N |
Occupants:
List each person who will occupy the unit:
Name Relationship Age 1. 2. 3. 4. |
| Emergency Contact
Information
In case of an emergency who do we contact? (Name, relationship, address, phone number):
|
Vehicle/Parking
Information
Make, year, model of your car/vehicle(s): |