RENTAL
APPLICATION FOR RESIDENTS AND OCCUPANTS Please
print, fill out, and fax the form to the number below.Fax: 225-292-2351
Date:
______________
Apartment
Name: _________________________________________________________ Apt. #:
___________
Desired Date
of Occupancy: ______________________________________ Monthly Rental Rate:
__________
Name of Applicant:
_____________________________________________ Date of Birth: _________________
Social Security
#: ______________ Driver's License #: _______________ Phone #: _____________________
Present Address:
______________________ City: ___________________ State: _____ Zip: _____________
Previous Home
Address: __________________________ City: ________________ State: _____
Zip:________
Name of Employer:
_____________________________________________ Salary: _______________________
Address of
Employer: ___________________________ Position: ________________ Phone:
______________
Name of Spouse:
______________________________________________ Date of Birth: __________________
Social Security
#: ____________ Driver's License #: _______________ Business Phone #: _______________
Name of Employer
(spouse): _________________________ Position: ______________ Salary: ______________
Address of
Employer (spouse): _______________________ Name of Supervisor: __________________________
Other Sources
of Income: _____________________________________________________________________
OTHER PERSONS
WHO WILL OCCUPY THIS APARTMENT WITH YOU:
Name: _________________________
Relationship: ______________________ Birthdate: _________________
Name: _________________________
Relationship: ______________________ Birthdate: _________________
Name: _________________________
Relationship: ______________________ Birthdate: _________________
Name: _________________________
Relationship: ______________________ Birthdate: _________________
Name of apartment
where you now live: _________________________________________________________
Owner or manager's
name: ____________________________________________________________________
Their phone:
_______________________ Date moved in: __________________ Monthly Rent:
____________
Why are you
leaving your present residence?: ____________________________________________________
Your previous
home address: __________________________________________________________________
City/State/Zip:
______________________________________________________________________________
Apartment
Name: ____________________________________________________________________________
Owner or manager's
name: ____________________________________________________________________
Their phone:
_____________________________ Monthly Rent: ______________________________________
Date moved
in: ___________________________ Date moved out: ___________________________________
CREDIT
REFERENCES:
Bank: _____________________________
Phone: _____________________ Acct.#: _____________________
Other: _____________________________
Phone: _____________________ Acct.#: ____________________
Other: _____________________________
Phone: _____________________ Acct.#: ____________________
How many vehicles,
boats or trailers would you keep at this address?
Make of car:
__________________________ Year: _____________ License #: _________________________
Make of car:
__________________________ Year: _____________ License #: _________________________
Do you have
pets? Yes
Are you a
member of the military Yes
In case of
an illness, injury, death or non-payment of rent, please notify:
Name: ____________________
Address: ______________________________ Phone: ___________________
Relationship:
_______________________________________________________________________________
Applicant
has deposited herewith the sum of $________, receipt of which is hereby
acknowledged, as a non-interest bearing deposit (and not as a rental payment)
to be refunded as hereinafter provided in the lease agreement. In the
event the application is approved and applicant fails or refuses to enter
into the contemplated lease, owner shall retain the said deposit as liquidated
damages to cover the cost of taking and processing this application and
removing the premises from the market and holding same for applicant.
In the event this application is disapproved or for any other reason for
which owner is responsible the lease agreement is not consummated, this
deposit will be returned to applicant. This application is
made with the understanding that it is subject to acceptance by the owner
and subject to execution by an officer of said company and delivery of
a lease covering said premises. Please allow a minimum of 5 - 7 days to
process your application for both credit and character references.
APPLICANT:
________________________________________________________________________________
