RENTAL APPLICATION

Neatly complete all information below. All applicants over the age of 18 must complete and sign their own application.

Applicants full name_________________________________Phone #___________________DOB_________

Social Security #____________________Drivers License #____________________State______Exp.________

Current Address________________________________City___________________State_______Zip_______

Current Landlords Name__________________________________Landlords Phone #____________________

How long at this address__________Reason for leaving____________________________________________

Previous Address________________________________City__________________State_______Zip_______

Previous Landlords Name__________________________________________Phone #____________________

How long at this address__________Reason for leaving____________________________________________

Auto Yr______Make____________Model_____________________State/License Plate #_________________

Present Employer_____________________________Position__________________Mo. Income____________

Phone #__________________How long at job_________Other income/source__________________________

Employers Address________________________________________City___________________State______

Number and type of Pets_________________________Have you ever been party to an eviction? [ ] Yes [ ] No

Name of bank_________________________Branch_____________________Type of Account____________

Name of bank_________________________Branch_____________________Type of Account____________

Personal References

Name______________________________Yrs. Known____Relationship____________Phone #___________

Name______________________________Yrs. Known____Relationship____________Phone #___________

Name______________________________Yrs. Known____Relationship____________Phone #___________

Total number of adults___________Total number of children living with you under the age of 18____________

Names and relations of all other applicants______________________________________________________

_______________________________________________________________________________________

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.

Signature________________________________________________________________Date____________

[Dennis & Lorrie Baunach] [RENTAL APPLICATION] [RENTAL APPLICATION FOR MARRIED COUPLE]