R4L Management
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Apartment Rental Application
Primary Applicant Information
Primary Applicant Name
*
First
Last
Date of Birth
*
XX/XX/XXXX
Email
*
Phone Number
*
Social Security:
*
Driver's License #
*
State
*
Current Address
*
Line 1
Line 2
City
State
Zip Code
Country
Landlord Name
*
First
Last
Landlord Phone Number
*
Can we contact Landlord?
*
Yes
No
Not Yet
How many living at property?
Employment Information
Adults
*
Children
*
Dogs/Cats
*
Current Employer
*
Work Phone Number
*
Can we contact Employer?
*
Yes
No
Not Yet
Occupation
*
Current Salary/Income
*
Can you prove income?
*
Yes
No
Co-Applicant Information
Co-Applicant Name
*
First
Last
Date of Birth
*
Email
*
Phone Number
*
Social Security
*
Driver's License #
*
State
*
Has any applicant ever:
Filed for bankruptcy?
*
Yes
No
Been served an eviction notice?
*
Yes
No
Willfully/Intentionally refused to pay rent?
*
Yes
No
Current Employer
*
Work Phone Number
*
Can we contacnt employer?
*
Yes
No
Not Yet
Occupation
*
Current Salary/Income
*
Can you prove income?
*
Yes
No
Credit/Personal References
Reference #1 Name
*
First
Last
Phone Number
*
Reference #2 Name
*
First
Last
Phone Number
*
Reference #3 Name
*
First
Last
Phone Number
*
I/We authorize landlord or agent
to investigate my/our credit qualifications and employment and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.
I/We declare under penalty of perjury that the information listed in this application is true and correct.
The undersigned authorizes landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of this Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent or its representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial and criminal history information.
Do you agree to these terms and conditions?
*
Yes
No
Submit
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