Rental Application & Background Check Consent



Address of property to be rented: rental addy1


Rental term: (monthly / annual)

Amounts due prior to occupancy:
First month’s rent of $rent amount to be received and cleared by Landlord/Property Manger when lease is signed, plus a security deposit of $security amount to be received by Landlord at the time of signing the Rental Agreement.

Applicant:

Full name: full name

Alias or other names used: alias

Phone (cell/work/home/other) : cell

Driver's license ID and state of issue: Driver's License ID

Social Security Number: SSN

Date of birth: Date of birth

Email: email

Rental/Residence History For The Past 3 Years (in the US or any other country):

Current address: current address
Length of Tenancy: # of years at current address
Landlord/manager : current address landlord
Landlord/manager phone: current address landlord phone
Reason for leaving: current address reason

Previous address: prev address1
Dates lived at address: prev address1 dates
Landlord/manager : prev address1 landlord
Landlord/manager phone: prev address1 landlord phone
Reason for leaving: prev address1 reason

Previous address:prev address2
Dates lived at address: prev address2 dates
Landlord/manager: prev address2 landlord
Landlord/manager/parent phone: prev address2 landlord phone
Reason for leaving: prev address2 reason


Employment History (in the US or any other country):
Current Employer name: curr employer name
Address: curr employer address
Name/Phone of Supervisor : curr supv name
Date employed: curr dates employ
Position: curr position

Previous Employer name: curr employer name
Previous Employer Address: curr employer address
Name/Phone of Previous Supervisor : curr supv name
Date of Previous Employment: curr dates employ
Previous Position: curr position

Income:
Your gross monthly income which will be used to pay the monthly rent: (please
specify sources):

Source: income source1 $income1 amount

Source: income source2 $income2 amount


Have you ever (in the US or any other country):
Filed for bankruptcy? yes/no
Been sued? yes/no
Sued someone else? yes/no
Been evicted? yes/no
Been convicted of a crime: yes/no

Please explain any “yes” listed above: ...

Pets: yes/no

Type: (cat/dog/other)



References and emergency contact (at least one must be in the US):
Personal reference: personal ref Relationship: personal ref relation
Address: personal ref addy
Phone: personal ref phone

Contact in emergency: emerg contact Relationship: emer contact relation
Address: emer addy
Phone: emer phone

Banking Reference:

Bank Name: Bank Name

Bank Phone: Bank Phone

Bank Address: Bank Address

Bank Account No.: Bank Account

Checking or Savings?: checking/savings

Account Balance: Account Balance


I certify that all the information given above in this Rental Application is true and correct and understand that my Rental Lease Agreement may be terminated if I have made any false or incomplete statements in this Rental Application. For the purpose of evaluating this Rental Application and for the collection and recovery of any financial obligations relating to my tenancy, I authorize verification of the information provided herein from current and previous landlords, employers, schools, consumer or investigative credit report, criminal background report, eviction records and/or personal references. I understand that the $50 fee for verifying this rental application is not a deposit, will not be applied to any rent, or refunded even if the application to rent is declined.