Rental Application
$ 25 Application Fee
(cash/money order)
Please fill out this form completely, and with as much
detail as possible. Any blanks will delay the processing of this application.
Date__________________ Property
Applying For_______________________________________
Move in Date:
______________ Rent $______________
APPLICANT
Do you have a voucher? _________
County ______________
# Bedrooms __________
Name____________________________________________
Social Sec #________________________________
Drivers Lic. #
______________________________ Date of
Birth_________________________________________
Telephone
(home)____________________________________(cell)
____________________________________
Present
Address________________________________________________________Zip
Code:_______________
Since_____________ Monthly Rent____________ Reason for
Leaving____________________________________
Landlord____________________________________
Tel # ___________________________________________
If less than 2 years,
Previous
Address______________________________________________________________
How
Long_____________ Monthly Rent______________ Reason for
Leaving______________________________
Landlord____________________________________
Tel # ____________________________________________
CO-APPLICANT
Name____________________________________________
Social Sec #________________________________
Drivers Lic. #
______________________________ Date of
Birth________________________________________
Telephone
(home)__________________________________ (cell)
______________________________________
Present
Address_____________________________________________________ Zip
Code:_________________
Since_____________ Monthly Rent____________ Reason
for
Leaving____________________________________
Landlord____________________________________
Tel # ____________________________________________
If less than 2 years,
Previous
Address______________________________________________________________
How
Long_____________ Monthly Rent______________ Reason for
Leaving______________________________
Landlord____________________________________
Tel # ____________________________________________
EMPLOYMENT
Place______________________________________________
Position__________________________
How
Long_____________________________________________
Salary_________________________Per Month
Supervisor___________________________________________ Their Tel
#_______________________________
If less than 2 years,
Previous______________________________________________________________________
How Long___________________________
Position__________________________________________________
Supervisor___________________________________________ Their Tel
#_______________________________
CO-APPLICANT – EMPLOYMENT
Place_________________________________________________Position________________________________
How Long____________________________________________
Salary__________________________ Per Month
Supervisor___________________________________________ Their Tel
#_______________________________
If less than 2 years,
Previous_____________________________________________________________________
How Long___________________________
Position__________________________________________________
Supervisor___________________________________________ Their Tel
#_______________________________
Do you have a pet? ________________
There is a $500 non-refundable pet fee.
Name, Relationship and Age of People
who will be living with
you:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Emergency Contact Information (this
must be someone who does not live in your
home)
_____________________________________________________________________________________________
Relationship
to you_______________________
Address_______________________________________________
Telephone #
(day)_________________________ (evening)_____________________
(cell)____________________
I, the undersigned, give Don White authorization to
check my credit, criminal records, rental references, and employment history to
verify any information contained herein to be correct. I further state that the
information provided by me in this application is complete and accurate to the
best of my knowledge. I acknowledge and agree that in the event I enter into a
rental contract with DLW Properties, LLC. they may cancel the rental contract
in the event any of the information provided by me in this application is
materially inaccurate or incomplete.
If the above property is rented to me, this application
is to be attached to and made part of that agreement.
Applicant_________________________________________________(Seal)_________________________Date
C0-Applicant_______________________________________________(Seal)
_________________________Date
THIS HOUSE IS BEING OFFERED ON AN EQUAL HOUSING/EQUAL
OPPORTUNITY BASIS. NO DISCRIMINATION WILL BE MADE AS TO RACE, COLOR, RELIGION,
SEX, NATIONAL ORIGIN, HADICAPPED, OR FAMILIAL STATUS. |