RENTAL APPLICATION

(MUST BE FILLED OUT COMPLETELY IN ORDER TO BE PROCESSED)

 

Property Address:

 

 

Rent: $

(First, Last & Deposit Required)

Date Available:

Applicant Last Name

First

Middle

 

Birth Date

Driverís License # and State

 

Social Security #

 

 

RESIDENCE HISTORY

Present Address†††† City†††† State†††††† Zip

How Long?

____ Yrs††† ____ Mo

[†† ] Own

[†† ] Rent

Phone

(††††† )

Monthly Payment

$

Name of Present Landlord

 

City††††††††† State††††††

Zip

Landlord Day Phone

(††††† )

Night Phone

(††††† )

Previous Address†† City†††† State†††††† Zip

How Long?

____ Yrs††† ____ Mo

[†† ] Own

[†† ] Rent

Phone

(††††† )

Monthly Payment

$

Name of Previous Landlord

 

City††††††††† State††††††

Zip

Landlord Day Phone

(††††† )

Night Phone

(††††† )

Previous Address†† City ††††State†††††† Zip

How Long?

____ Yrs††† ____ Mo

[†† ] Own

[†† ] Rent

Phone

(††††† )

Monthly Payment

$

Name of Previous Landlord

 

City††††††††† State††††††

Zip

Landlord Day Phone

(††††† )

Night Phone

(††††† )

 

EMPLOYMENT HISTORY/INCOME INFORMATION

Applicant Employed By

Department

Supervisorís Name

How Long?

_____ Yrs†††† _____ Mo

Address†††††††††† City†††††† State††††† Zip

Phone

(††††† )

Position Held/Occupation

Monthly Salary

$

Applicant Previous Employment

Department

Supervisorís Name

How Long?

_____ Yrs†††† _____ Mo

Address†††††††††† City†††††† State††††† Zip

Phone

(††††† )

Position Held/Occupation

Monthly Salary

$

Additional income: (child support, alimony or separate maintenance need not be disclosed unless such additional income is to be included for qualification hereunder.)

Amount:$________________________†† per __________________________Source _________________________

 

FINANCIAL INFORMATION

Liabilities/Creditors

(Auto Payment, Charge Cards, Child Support, Etc.)

Total Owed

Monthly Payments

Liquid Assets

(Cash, Bank Accounts, Stock, Etc.)

Balance

Value

1.

$

$

 

$

2.

$

$

 

$

3.

$

$

 

$

4.

$

$

 

$

PLEASE LIST ANY ADDITIONAL ASSETS OR LIABILITIES ON THE BACK OF THIS FORM:

 

OTHER IMPORTANT INFORMATION

Auto #1

Make & Model

License Plate # and State

 

Auto #2

Make & Model

License Plate # and State

 

Other Vehicles (Boats, Vans, Motorcycles, R.Vís, etc.) Make Model and License Plate #

 

 

Applicantís Nearest Relative

Relationship

Address†††††††††††††††††††††††††† City††††††††††††††† State†††† Zip

Phone

(††††† )

Emergency Contact

Relationship

Address†††††††††††††††††††††††††† City††††††††††††††† State†††† Zip

Phone

(††††† )

Personal Reference

Relationship

Address†††††††††††††††††††††††††† City††††††††††††††† State†††† Zip

Phone

(††††† )

 

Have you ever:Been evicted? _______Refused to pay rent? _______Filed for bankruptcy? _______ Convicted of a felony? ________

Do you smoke tobacco? _______If yes, are you willing to exclusively smoke outdoors? ________†† Are you vegetarian? _____________

Do you have any pets? ________Type?_______________ Do you have a waterbed? _______ Do you plan on having a telephone? ______

Do you wish to paint, change window coverings, carpets or make any other alterations to the apartment? ____________________________

How long do you believe youíll stay here? ___________________________ Why are you moving? ________________________________

Are your parents providing financial support or co-signing the lease? ______ If so, what is their occupation? _________________________

List all other persons to occupy the unit ________________________________________________________________________________

 

Screening Disclosure Notice

 

You are being charged a Non-Refundable fee of $ 25 for screening your application.Screening includes calling your employers, references, current and former landlords, financial institutions, a credit report, checking public records and verifying information on the application.If you are denied tenancy based on information reported, you have the right to dispute it by contacting the Owner/Agent.By signing this application you authorize the screening process and acknowledge a copy of this notice.

CORRECT INFORMATION - Applicants represent that all of the above statements are true and complete.Applicants acknowledge that giving false or incomplete information herein may constitute grounds for rejection of this application, termination of right of occupancy, and or forfeiture of deposits and may constitute a criminal offense under the laws of Washington State.Applicants understand they acquire no rights in the rental unit until a Holding or Security Deposit is paid when requested by the Owner/Agent.

If applicant has insufficient housing references, a co-signer may be required.

 

Applicant _______________________________________________________Date ______________________

 

Revised 7/99