APPLICATION
TO RENT APARTMENT
Building Choose Building/Apartment Type
Applicant's name SS # Age Telephone #
Spouse or roommate SS # Telephone #
Applicant's present address
Owner or manager of present dwelling Telephone#
Number of months at present address Reason for leaving
Previous address from to
Owner or manager Telephone #
Reason for leaving
Other References Telephone #
Credit reference: Telephone #
Present employer How long
Kind of work telephone # at work
Previous employer How long
Kind of work telephone # at work
Roommate's employer How long
Kind of work telephone # at work
In case of emergency, notify telephone #
List name, age, and relationship of all persons to be occupying premises:
List all vehicles to be parked on the premises (including cars, trucks, motorcycles, trailers, boats, etc.)
Have you, your spouse, or roommate ever been evicted or left owing rent?
Have you, your spouse, or roommate ever been sued for non-payment of rent or damaged rental property?
Owners affirm that they will not refuse to rent their property to any prospective tenant(s) on the basis of sex, creed, color, race, national origin, familial status or handicap. Applicant(s), for their part affirm their understanding that the rental unit will be offered to whomever in the owner's judgment will make the best tenant(s). This judgment shall include (but not be limited to) such items as care of past owner's property, respect for fellow tenants, and prompt payment of rent.