Right click and select "print". You can also email it to me or I can snail-mail one to you for completion.
What addrress are you interested in?__________________________
Name of all applicants including middle name ____________________________________________, __________________________________________
Phone _________________ Work phone _______________ email _______________________________
Present Address________________________________________________________________________
How many in your Household? Adults ______ Children______ Pets______ Breed____________ Weight_______
How long have you lived at your present address?____________ How long do you plan on staying at your next address?_____________
Number of smokers _____
Name of current landlords of all applicants __________________________, ____________________________ Phone________________, _________________
Prior landlords___________________________________, _____________________________ Phone ______________,_____________
Will your present and previous landlords give you a good reference? ________
Applicant's Employer ____________________________________Phone___________________
How long have you worked here? ______________, ____________
Job title________________________________ Supervisor ____________________________
Full or Part-time? ______________
Co-Applicant's Employer__________________________________ Phone__________________
How long have you worked here? ______________
Job title _____________________________ Supervisor ____________________________
Full or Part-time? ___________
Other income sources _______________________________________________________
Total weekly household income $_____________________
Current rent $_______ Will you get your deposit back?_______
Are you able to pay rent by the first of every month?___________
Are you able to transfer utilities and pay the deposit and first months rent prior to moving in? ______ Source of money_____________
Name and Social Security numbers of all prospective occupants.
_______________________________ _______________________________ _______________________________ _______________________________
_______________________________ _______________________________ _______________________________ _______________________________
References, no more than one relative please
....................................Name .................................................Number.............................. Relationship.......
- ______________________________ ______________________ ____________________
- ______________________________ ______________________ ____________________
- ______________________________ ______________________ ____________________
** You must include a copy of your most recent pay stub(s) incomplete applications will be discarded **
I authorize the verification of my credit, employment, personal references, and public records in connection with the processing of this application.
________________________ Date ____________
_________________________ Date ___________ Mail completed application to:
RentIndependence.com
P.O. Box 365
Independence IA 50644 or email to RentIndependence@yahoo.com