RENTAL APPLICATION Address City State Zip Social Security Number Phone Additional Occupant Additional Occupant Social Security Number Current Residence Address City State Zip Owner or Manager Phone Number Reason For Leaving Length of Residency Reason for Leaving Was Rent Paid On Time yes or no Were You Asked To Leave yes or no Employer Address City State Zip Employer Phone Employer Contact Person Job Description Monthly Pay Other Income Other Income Monthly Amount Vehicle Description Vehicle Description Emergency Contact Name Emergency Contact Phone Personal Reference Name Phone Relationship Personal Reference Name Phone Relationship Personal Reference Name Phone Relationship Have you ever filed bankruptcy How would you rate your credit excellent good fair poor Have you ever been evicted Do you understand there is no pets Do you understand there is no smoking indoors Do you understand you cannot move more people in Do you consent to a background check Do you have funds available for deposit and 1st month rent