RENTAL/CREDIT APPLICATION

Date__________________

Application is made to rent premises known as___________________________________________Zip___________
For________ months, beginning on the _______day of ____________________, 20_______ for the monthly rent of $___________________ payable in advance on the first day of each month.

1)First name___________________________Middle_________________Last______________________________

2)Marital status:    ( ) Married         ( ) Single        Spouse’s first name______________________________________

3)Names of other persons living with you_____________________________________________________________

4)Number of vehicles, to be kept at this address________________________________________________________
                                                                                                                        Cell phone_______________________
5)Present address_____________________________________ zip________Home phone______________________

6)Children: How Many?____________

    ------------------------YOU----------------------                                     -------------------SPOUSE------------------------

Social Security #__________________________                           Social Security #___________________________  

Driver’s license #__________________________                          Driver’s license #___________________________

Date of Birth______________________________                          Date of Birth_______________________________

Employer_________________________________                          Employer_________________________________

Address__________________________________                          Address___________________________________

Phone________________How Long?__________                           Phone________________How Long?___________

Title_________________Salary_______________                           Title_________________Salary_______________

R E F E R E N C E S

Last Landlord____________________________ Address______________________________  Phone #________________

How long at last address?__________________   Previous address____________________________________zip________

Name of Emergency contact person________________________________________________________________________

Full Address_________________________________City __________________________State_____________zip________

Bank name and checking/savings account #__________________________________________________________________

Charge accounts_____________________________Balance__________________________________Mo. Pmt.___________
Charge accounts_____________________________Balance__________________________________Mo. Pmt.___________
Charge accounts_____________________________Balance__________________________________Mo. Pmt.___________

I(we) hereby certify that the foregoing information is true and accurate to the best of my (our) knowledge.  I(we) hereby authorize the person or firm to whom this application is made and credit bureau or other investigative agency employed by such person, to investigate the statements, or other data herein listed, obtained from me or from any other person pertaining to my credit and financial responsibility. I understand that the application fee I(we) have paid is non-refundable after this investigation has been completed.
PLEASE READ ABOVE STATEMENT BEFORE SIGNING APPLICATION

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Agent                                                                                                        Applicant Signature                                Date

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Manager                                                                                                    Applicant Signature                                 Date

214/372-0000             FAX  214/371-5215