Rental Application
Contact Information
First Name:
Last Name:
Date: 05-20-2012
Phone #: Home:(
)
-
Cell:(
)
-
email:
Current Address
Street Address:
City:
State:
ZIP:
How long at this address?
Reason for leaving?
Landlord:
Landord's contact number:
Previous Address
Street Address:
City:
State:
ZIP:
How long at this address?
Reason for leaving?
Landlord:
Landord's contact number:
Residence Applying For
Street Address:
Date Needed:
HAVE YOU...
(check all that apply)
Ever been evicted?
Ever filed bankruptcy?
Ever been convicted of a felony?
Do you smoke?
Do you own a waterbed?
Do you have pets?
describe:
Vehicle
Make:
Model:
Year:
License Plate Number:
Emergency Contact
Name:
Street Address:
City:
State:
ZIP:
Phone #:(
)
-
Names and Ages of all people living in residence
(even if temporarily)
Are you currently employed? Yes
No
If yes, please give employer's name, address and phone number.
Name:
Address:
Phone:
If not currently employed, please state the source of your rent:
*
Social Security #
-
-
*
Drivers License #
*
Birth Date
/
/
*
Information required for obtaining credit report.
By checking this box I hereby acknowledge that the above information is accurate and complete. I am authorizing Partlo Property Management(Landlord) to use this information for obtaining a credit report and Landlord references to determine rental eligibility.
Please note that there is a $30.00 application fee per applicant. Payment must be received before the form will be processed.
©Partlo Property Management LLC
