Property Rental Application A $25.00 application fee will apply per occupant over 18 years of age. *Property of Interest: *Primary Applicant Name: *Social Security #: *Phone:, *Email: Secondary Applicant Name: Social Security #: *Present Address: *City: *State: *ZIP Code: *Do any proposed tenants smoke? YesNo *Do you have pets? YesNo *Present Landlord: Landlord Address: City: State: ZIP Code: Name of Individual Who Will Be Occupying Premises: Birth Date: Name of Individual Who Will Be Occupying Premises: Birth Date: Name of Individual Who Will Be Occupying Premises: Birth Date: *Primary Applicant Employer: *Primary Applicant Phone: *Primary Applicant Length of Employment: *Primary Applicant Income: Primary Applicant Make/Model: *Primary Applicant License #: Secondary Applicant Employer: Secondary Applicant Employer Phone: Secondary Applicant Length of Employment: Secondary Applicant Income: Secondary Applicant Make/Model: Secondary Applicant License #: *In Case of an Emergency, Notify: *Relationship: *Phone: Address: *Payment Authorization: I authorize application fees I authorize the charge of an application fee of $25.00 per occupant over the age of 18 years. Application Agreement & Credit Check Authorization: By signing this I certify that the above information is true and complete. I authorize the verification of this information by contacting any or all individuals and financial institutions. I authorize a thorough check of credit lines by legitimate credit reporting agencies. I understand that this is not a lease or and offer to rent. No binding obligation of any kind exists between the owner and me. NO PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY BECAUSE OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN OR ANCESTRY. *Signature (type name) *Date Signed Please leave this field empty.