Rental Agreement Form
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SAMPLE RENTAL AGREEMENT FORM
Address of Rental Property: ______________________________________________________________________
Personal Information
Applicant Full Name: _______________________________________________
Social Security Number: __________________
Date of Birth: ________________ Phone number: _______________________
Email address: __________________________
Names of co-applicants (must fill out separate application): _______________________________________________________
List all other persons to occupy apartment that are at least 18 years old:
Name: ______________________ Social Security #: ____________________
Date of Birth: _________
Name: _____________________ Social Security #: ____________________
Date of Birth: __________
Name: _____________________ Social Security #: ____________________
Date of Birth: __________
Rental History
Please list your addresses for the past five years. Attach additional pages if necessary.
Current address: ______________________________________________________________________
How long at this address: __________
Manager/Owner name: ____________________________
Phone number: _____________
Previous address: ________________________________________________________________________________________
How long at this address: __________
Manager/Owner name: ____________________________
Phone number: _____________
Previous address: ________________________________________________________________________________________
How long at this address: __________
Manager/Owner name: ____________________________
Phone number: _____________
Employment History
Please list your employers for the past five years. Attach additional pages if necessary.
Current employer (company): ________________________________________________________
Address: ____________________________________
Name of Supervisor: _______________________
Phone number: ____________ Length of time: _______
Position: _____________________________
Former employer (company): ___________________________________________________________
Address: _____________________________________
Name of Supervisor: _______________________
Phone number: ______________ Length of time: ________
Position: ______________________
Former employer (company): __________________________________________________________
Address: ____________________________________
Name of Supervisor: _______________________
Phone number: _______________ Length of time: ____________
Position: ___________________
Financial History
Present monthly income (estimate): ______________________________________________________________________
Any additional sources of income (please explain): ______________________________________________________________
Savings Account #: _____________________________
Bank Name: ___________________________
Balance: _____________
Checking Account #: ____________________________
Bank Name: __________________________ Balance: ____________
Pets
Pet #1 Animal type: __________ Name: ________________ Age: _______
Weight: _____ pounds
Breed: ____________ Sex: ______ Spayed/Neutered (check): ____ Yes ____ No
Pet #1 Animal type: _________ Name: ________________ Age: _______
Weight: ______ pounds
Breed: ___________ Sex: ______ Spayed/Neutered (check): ____ Yes ____ No
I am willing to pay an additional Pet Deposit and I am willing to sign a Pet Agreement (check): _____ Yes _____ No
Vehicle information
Vehicle #1 Make: ______________Model:_______________ Year: _______
Color: __________ License Plate #: ____________
Vehicle #2 Make: ______________Model:_______________ Year: _______
Color: __________ License Plate #: ____________
Personal History
Do you currently smoke? (Check) ______ Yes _____ No
Have you ever been evicted? (Check) ______ Yes ______ No
If yes, when and why: _________________________________________________________________________________________________________
Have you ever filed for bankruptcy? (Check) ______ Yes ______ No
If yes, when and describe: ________________________________________________________________________________________________
Have you ever been convicted of a felony? (Check) ______ Yes ______
No If yes, when and why: ________________________________________________________________________________________________________________________
References
Name: _______________________________________________
Phone Number: _____________________
Address: _________________________________________________________________________________________
Relationship: _______________Occupation: _____________________
Years known: ____________
Name: ______________________________________________
Phone Number: ___________________
Address: ______________________________________________________________________
Relationship: ________________Occupation: ___________________
Years known: ____________
Emergency Contacts
Name: ______________________________________________
Phone Number: _____________________
Address: ______________________________________________
Relationship: ______________________
Name: _______________________________________________
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This form has been prepared for general informational purposes only. It does not constitute legal advice, advertising, a solicitation, or tax advice. Transmission of this form and the information contained herein is not intended to create, and receipt thereof does not constitute formation of, an attorney-client relationship. You should not rely upon this document or information for any purpose without seeking legal advice from an appropriately licensed attorney, including without limitation to review and provide advice on the terms of this form, the appropriate approvals required in connection with the transactions contemplated by this form, and any securities law and other legal issues contemplated by this form or the transactions contemplated by this form.