Buying & Selling
Application To Rent
Each Individual Occupant Who is Responsible for Rent Payment
MUST Complete A Separate Application Form
Employment / Financial Information
Please List All Your Financial Obligations
Emergency / Personal Reference Information
Vehicle Information - Please state exact number of motor vehicle that will be at the premises
Applicant represents that all the above statements are true and correct and hereby authorizes landlord/agent to verify the above items including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references upon request.
Landlord/Agent received a payment of $
which will be used to verify Applicant's credit history and other background information.
The amount charged is itemized as follows:
1. Actual cost of credit report, including any eviction search, and/or other verifying reports:
2. Landlord/Agent cost to process and screen applicant's supplied information:
The undersigned makes application to rent housing accommodations designated as:
The rental for which is
and upon approval of this application agrees to sign a rental or lease agreement and to pay all sums due, including required deposits, before occupancy.
Signature of Applicant