RENTAL APPLICATION UNIT ADDRESS____________________________________________________________________ Neatly complete all information below. Applicant's full name___________________________ Phone #______________ DOB______ Social Security #_________________Driver's License #_____________State___Exp____ Current Address___________________________City______________State_____Zip_______ Current Landlord's Name_________________________Landlord's Phone #______________ How long at this address______Reason for leaving________________________________ Previous Address__________________________City______________State_____Zip_______ Previous Landlord's Name___________________________________Phone #______________ How long at this address______Reason for leaving________________________________ Auto Yr_____Make__________Model________________License Plate #_________State____ Present Employer_________________Position___________________Monthly Income______ Supervisor's Name____________________Phone #______________How long?_____________ Employer's Address_____________________City_________________State_____Zip_______ Number and type of pets___________Have you ever been party to an eviction?______ Name of Bank________________Branch location_________________Type of Account_____ Name of Bank________________Branch location_________________Type of Account_____ Personal References Name___________________Yrs. Known___Relationship_____________Phone #____________ Name___________________Yrs. Known___Relationship_____________Phone #____________ Name___________________Yrs. Known___Relationship_____________Phone #____________ Total number of adults to live in unit___Children under 18_____Other income_____ Names and relations of all other people to live in unit_________________________ I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above. Signature__________________________________________________Date_________________