Rental Application

PROPERTY

Unit Address:

Apartment #:

Date of Requested Move In:

INSERT "N/A" FOR NON-APPLICABLE ITEMS. ALL APPLICANTS, PLEASE COMPLETE SEPARATE APPLICATIONS.

APPLICANT

First Name:

Middle Name:

Last Name:

Driver's License #:

Date of Birth:

/ /

Home Phone:

Cell Phone:

Email:

CURRENT RESIDENCE

Current Address:

City:

State:

Zip:

Number of Dependents:

Landlord or Caretaker Name:

Rent Paid:

Landlord Phone #:

Dates of Occupancy:

From: / /
To: / /

PREVIOUS RESIDENCE

Previous Address:

City:

State:

Zip:

Vacate Date:

/ /

Landlord or Caretaker Name:

Rent Paid:

Landlord Phone #:

Dates of Occupancy:

From: / /
To: / /

SOURCE OF INCOME (EMPLOYMENT, IF EMPLOYED)

Current Employer or Income Source:

Address:

City:

State:

Zip:

Salary:

Position:

Supervisor's Name:

Phone #:

Dates of Employment:

From: / /
To: / /

Previous Employer or Income Source:

Address:

City:

State:

Zip:

Phone #:

Dates of Employment:

From: / /
To: / /

Reason for Leaving:

ADDITIONAL SOURCES OF INCOME (i.e. PART TIME JOB, ASSISTANCE, DISABILITY, LOANS)

Other Income Source Name:

Address:

City:

State:

Zip:

Phone #:

Amount:

BANK ACCOUNT

Name of Bank:

Phone #:

Services:

Checking Savings

AUTO

Make:

Year:

License Plate:

Model:

Color:

Monthly Payments:

REFERENCES

Name of Father
and/or Mother:

Email:

Phone #:

Personal Reference #1
(No relatives please):

Relationship:

Email:

Phone #:

Personal Reference #2
(No relatives please):

Relationship:

Email:

Phone #:

Emergency Contact:

Address:

City:

State:

Zip:

Phone #:

Email:

Terms and Conditions of Use:
Application processing by Rental Research Services, Inc. 11300 Minnetonka Mills Road, Minnetonka, MN 55305 (800)328-0333. The foregoing information is supplied to the management to induce them to rent to me and is true and correct in all respects. I authorize whatever credit and background investigation the management company considers appropriate. This investigation may include the exchange of information and a report from a credit agency. I authorize the release of income and employment history from federal or state records including State Employment Security Agency records. This release is valid for this transaction only and continues in effect for one year, unless limited by state law, in which case the authorization continues in effect for the maximum period, not to exceed one year, or as allowed by law. I am not now renting a room or apartment under any other name nor have I ever rented a room or apartment under any other name. I have never been evicted from any apartment nor am I now being evicted.

I have read and agree to the terms and conditions of use.

Digitally signed by Applicant: