WOODROSE PROPERTIES LLC
Rental Application
| This section to be completed by landlord Address of Property to be Rented: __________________________________________________ Rental Term: [ ] month to month [ ] lease from _________________ to __________________ Amount Due Prior to Occupancy: First Month’s Rent $_________________________ Security Deposit $___________________________ Other: $___________________________________ Total: $____________________________________ |
Date of Application:_________________________ Application Fee: $30____________________
Applicant Information
Full Name: ____________________________________________________________________________
Home Phone: _________________ / Cell Phone: _________________ / Work Phone: _______________
Email: _______________________________________________________________________________
Social Security #: ______________________________ Date of birth _____________________________
Driver’s License #: _________________________
Vehicle Make/Model/Color/Year: _________________________________License Plate Number/State: ___________
Additional Occupants (Please list everyone, including children, who will live with you)
Full Name Relationship to Applicant
_________________________________________ _______________________________________
_________________________________________ _______________________________________
_________________________________________ _______________________________________
_________________________________________ _______________________________________
Rental History
Current Address: ______________________________________________________________________
Dates Lived at Address: _________________________________________________________________
Reason for Leaving: ____________________________________________________________________
Landlord/Manager’s Phone: _____________________________________ Rent/Month: $____________
Employment Information
Current Employer:______________________________________________________________________
Dates Employed At This Job: _____________________________________________________________
Position/Title: _________________________________________________________________________
Supervisor’s Name/Phone: _______________________________________________________________
Income: 1. Your gross monthly employment income (before deductions): $________________________
2. Other sources of income: $_____________________________
Total: $_____________________________________________
Bank/Financial Accounts
Account Type Account Number Financial Institution
_________________________ _________________________ ______________________
_________________________ _________________________ ______________________
_________________________ _________________________ ______________________
Miscellaneous
Describe the number and type of pets that you wish to have in the rental property:
_____________________________________________________________________________________
Any water-filled furniture or furnishings? [ ] Yes [ ] No Do you smoke? [ ] Yes [ ] No
Have you ever filed for bankruptcy? [ ] Yes [ ] No
Have you ever been evicted from a past rental property? [ ] Yes [ ] No
Have you ever been convicted of a felony? [ ] Yes [ ] No
Explain any “yes” from above: ____________________________________________________________
References/Emergency Contact
Personal Reference: ________________________________ Relationship: _________________________
Phone: _______________________________________
Personal Reference: ________________________________ Relationship: _________________________
Phone: _______________________________________
Emergency Contact: ________________________________ Relationship: _________________________
Phone: _______________________________________
Source
Where/how did you learn of this vacancy? __________________________________________________
I certify that all of the information provided above is true and correct, and understand that my lease or rental agreement may be determined or terminated
as a result of false or incomplete statements in this application. I authorize verification of the information provided in this application,
including my credit sources, current and previous landlords and employers, personal references, and any other source deemed necessary to investigate me.
I give permission for the landlord or landlord’s representative to obtain a consumer/credit report about me for the purpose of this application,
to ensure that I continue to meet the terms of tenancy, for the recovery of any financial obligations relating to my tenancy, or for any other permissible purpose.
Applicant Signature: ________________________________________________ Date: ______________