New Tenant Leasing Application

1. Property Details

Property of Interest Address *

MLS Number (If Known)

Proposed Move-In Date *

Proposed Monthly Rent *

Desired Lease Term *

2. Applicant Information

Full Name *

Email Address *

Current Address *

Contact Number *

Work Phone Number *

Date of Birth *

Social Security Number *

Are you working with an agent? If yes, please list your representative's information below. *

Please list your real estate representative's information below.

Do you have a co-applicant? *

Please list your co-applicant's name here.

3. Emergency Contact

Full Name *

Relationship *

Contact Number *

4. Household & Pets

List all other occupants: Name / Age / Relationship

Will any pets occupy the premises referenced herein? *

If Yes, How Many? (What Type, Weight, Breed) (copy)

BACKGROUND INFORMATION (copy)

5. Rental History

Current Residence:

Current Landlord/Mortgage Company | Name *

Current Landlord/Mortgage Company | Phone Number *

Current Landlord/Mortgage Company | Email Address *

Current Landlord/Mortgage Company | Address *

Current Lease/Loan Period | Start Date *

Current Lease/Loan Period | End Date *

Current Lease/Loan Amount *

5. Rental History

Prior Residence: (if less than 2 years at current)

Are you registered or required to register as a sex offender in any state in the United States?

Landlord or Mortgage Co. Name

Address

Phone Number

Landlord/Mortgage Company | Email Address

Lease/Loan Period | Start Date

Lease/Loan Period | End Date

Lease/Loan Amount *

6. Employment & Income

Current Employment:

Company Name *

Company Address *

Supervisor/HR Name & Contact Number *

Hire Date *

Monthly Gross Income *

Position *

6. Employment & Income

Prior Employment:

Company Name *

Company Address *

Supervisor/HR Name & Contact Number *

Hire Date *

End Date *

Monthly Gross Income *

Position *

Reason for Leaving *

7. Financial References

Bank Name & Address

Phone Number

Bank Account Number

8. Credit Reference

Name of Creditor (Loan/Credit Card)

Phone Number

Account Number

PROFESSIONAL REFERENCES

Name *

First

Middle

Last

Phone *

Years of Acquaintanceship - Relationship *

Occupation *

Name *

First

Middle

Last

Phone *

Years of Acquaintanceship - Relationship *

Occupation *

10. Background Information

Have you ever been evicted? *

Have you ever declared bankruptcy? *

Are you currently or required to register as a sex offender? *