Today's Date: ________________
Application is hereby made to rent premises generally described as:
Address: ___________________________________________ for a term of _______ and ending the _____ day of ___________, 20_____, for which monthly rental shall be $________, payable in advance, and for which a security deposit of $________ shall be due prior to occupancy of the above-described premises.
A deposit of $_________ is made herewith on account of the first month's rent, with the understanding that if this application is accepted and the applicant fails to execute a lease before the beginning date specified above, or to pay the balance due as first month's rent, said payment will be forfeited as liquidated damages.
It is also understood that if this application is not accepted, or if the premises are not ready for occupancy by the applicant on the date specified above, said deposit shall be refunded to the applicant forthwith, upon applicant's request.
APPLICANT
Name: __________________________________
Present Address: _______________________________________
How Long? _______
Previous Address: _______________________________________
How Long? ______
Married:_______
Spouse's Name: ________________________________________
Children? ______________ How Many? _____________ Ages? ______________
Pets? ______________ What Kind? ________________ How Many? __________
YOUR EMPLOYMENT
Employer: __________________________________________________________________
Employer Address: __________________________________________________________
Supervisor: _________________________ Bus. Phone: _________________________
How Long on Present Job? ______________________ Annual Income: _____________
SPOUSE'S EMPLOYMENT
Employer: _________________________________________________________________
Employer Address: __________________________________________________________
Supervisor: _________________________ Bus. Phone: ________________________
How Long on Present Job? ________________ Annual Income: _________________
REFERENCES
Bank: ___________________________________
Phone: ______________________
Personal Reference: _______________________
Phone: ______________________
Credit Reference: _______________________
Phone: _______________________
Credit Reference: _________________________ Phone:_______________________
The information provided herein may be used by the landlord or his agent to determine whether to accept this application. Upon written request within 30 days, the landlord or his agent will disclose to applicant in writing the nature and scope of any investigation landlord has requested, and will, if this application is refused, state in writing the reason for said refusal.
Accepted ________ Refused ________
Note: This contract is meant to be used for reference only. Please consult an attorney before using any contracts on our site.
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