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Get Tenant Data Rental Application

Rental Application Please PRINT dark and clearly in black ink One person per application I hereby make application to rent to be used as a dwelling unit. Your Information Full legal name Phone number First Middle Last Social security number Date of birth mo Driver s license Current Address State issued Apt Zip State Address City Landlord s Name Landlord s Phone year Previous Address day Reason For Moving Monthly Rent When did you move in out Do you rent this residence Is your name on the lease Have you given written notice to leave o Yes o No Did you give written notice to leave Your Current Employment Name of employer Your position Your start date Employer s phone number Your supervisor Your Personal History Have you ever been asked to move out or evicted declared bankruptcy been sued for damage to a rental unit Your Vehicle Make o Gross o Net Monthly Salary broken a rental agreement or lease been sued for nonpayment of rent been convicted of a felony Model Color License Plate Number Other Residents List the legal names and ages of ALL other people who will occupy this unit. Names Ages In Case of Emergency Emergency Contact Phone Please Read Carefully I hereby state and represent that the information in this application is complete and accurate. Your Information Full legal name Phone number First Middle Last Social security number Date of birth mo Driver s license Current Address State issued Apt Zip State Address City Landlord s Name Landlord s Phone year Previous Address day Reason For Moving Monthly Rent When did you move in out Do you rent this residence Is your name on the lease Have you given written notice to leave o Yes o No Did you give written notice to leave Your Current Employment Name of employer Your position Your start date Employer s phone number Your supervisor Your Personal History Have you ever been asked to move out or evicted declared bankruptcy been sued for damage to a rental unit Your Vehicle Make o Gross o Net Monthly Salary broken a rental agreement or lease been sued for nonpayment of rent been convicted of a felony Model Color License Plate Number Other Residents List the legal names and ages of ALL other people who will occupy this unit. Names Ages In Case of Emergency Emergency Contact Phone Please Read Carefully I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be cancelled by the Landlord if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or Landlord s agents to verify the information on the application* Verification or re-verification of any information contained in the application will be retained by Landlord. I hereby authorize Tenant Data Services Inc* to obtain information about me including but not limited to this application my credit my tenant history my check writing history any court records and/or my criminal record and I hereby authorize instruct any entity or person contacted by Tenant Data Services Inc* or the Landlord or Landlord s agents to release such information to them* Upon request Landlord Landlord s agents or Tenant Data will provide the name phone number of the source of the information used in the verification process. .

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