ROOMMATE RENTAL APPLICATION

RENTAL APPLICATION Move in date: ___________ Applicant Information: Apartment or address applying for: _______________________________________ Applicant's Name: ______________________________________ Applicant's SS# ___________________ Co-Applicant's Name: ___________________________________ Co-Applicant's SS# ___________________ Phone # home: _____________________ Work_______________ DOB __________________ Co-Applicant's home/work phone______________ Co-Applicant's DOB __________________ Applicant's Driver's License: ___________________________________ State_____________ Co-Applicant's Driver's License _________________________________ State _____________ Current Address _______________________________________ Previous Address (if current is less than 3 years) _______________________________________ Co-Applicants Current Address: _______________________________________ Previous Address: _______________________________________ List of Occupants: _______________________________________ Emergency Contact phone number: _______________________________________ Current Landlord Information: Property Name: _______________________________________ Landlord or Contact Name: __________________________ phone # _____________________ Landlord Address: _______________________________________ Monthly Rental Amt.:______________ Resided on premises from _________to_____________ Current Landlord Information for Co-Applicant: Property Name: _______________________________________ Landlord or Contact Name: __________________________ phone # _____________________ Landlord Address: _______________________________________ Monthly Rental Amt.:______________ Resided on premises from _________to_____________ Employment Information: Employer/Company Name _______________________________________ Address _______________________________________ Supervisor's Name___________________________________ phone #_____________________ Position_____________________Salary $________ Start Date/Length of employment________ Employment Information for Co-Applicant: Employer/Company Name _______________________________________ Address _______________________________________ Supervisor's Name___________________________________ phone #_____________________ Position_____________________Salary $________ Start Date/Length of employment________ I understand that I/we will be turned down if I/we falsify any information on this application. I/we authorize the verification of all above information by ______________________ to include credit, rental, employment and criminal background. Applicant's signature __________________________ Date_____________________ Co-Applicant __________________________ __ DO I NEED A RENTAL APPLICATION FILLED OUT? YES Remember the person who answers your ad is a total stranger and you need to get to know him or her as quickly as possible. Have your potential renter fill out and sign a rental application. Along with the application get a copy of a photo ID.