All tenants over 18 years of age must submit this application prior to moving into rental property.
Tenant name: ___________________________________________________

All tenants must supply a copy of
1) Current full credit report and credit score as a combination of the three major credit bureaus and provide full social security number.

SSN: ____________________________

2) Legal and current photo id in the form of a current U.S. Driver’s license or valid passport.
License#:_______________

List previous residences and landlord contact information (including living free with a friend or relative). If you have owned your residence in the past two years, list mortgage company up to past two years.

Current residence Address: ________________________________________________
Current Phone Number:________________________________

If you rented:
Most recent landlord name: ___________________________________________ (*required)
Most recent landlord phone number:___________________________(*required)
Most recent landlord address:_________________________________
Dates of residence: from ___________________ to _______________


Previous residence if less than two years ago
Address: ________________________________________________
If you rented:
Most recent landlord name: ___________________________________________(*required)
Most recent landlord phone number:___________________________(*required)
Most recent landlord address:_________________________________
Dates of residence: from ___________________ to _______________

Previous residence if less than two years ago
Address: ________________________________________________
If you rented:
Most recent landlord name: ___________________________________________
Most recent landlord phone number:___________________________(*required)
Most recent landlord address:_________________________________
Dates of residence: from ___________________ to _______________

Employment History for past two years

Annual gross income for previous two tax years: __________________
Annual income as reported to the IRS after deductions for previous two tax years: ______________
Current Employer
Company Name: ____________________________________________
Supervisor Name: _____________________________________________
Employer Phone: _________________________________________
Employer Address: _____________________________________________
Dates Employed: from _________________________ to ___________________
Average Monthly Salary: $_______________

Previous Employer
Company Name: ____________________________________________
Supervisor Name: _____________________________________________
Employer Phone: _________________________________________
Employer Address: _____________________________________________
Dates Employed: from _________________________ to ____________________
Average Monthly Salary: $_______________

Previous Employer
Company Name: ____________________________________________
Supervisor Name: _____________________________________________
Employer Phone: _________________________________________
Employer Address: _____________________________________________
Dates Employed: from _________________________ to ____________________
Average Monthly Salary: $_______________

If self employed, list 3 business references. If employed by a company, list 3 personal references.

Reference 1)
Name:
Relationship:
Number of years known:
Phone number:

Reference 2)
Name:
Relationship:
Number of years known:
Phone number:

Reference 3)
Name:
Relationship:
Number of years known:
Phone number:


Have you ever been evicted or been more than 15 days late with full rental payment without consent of the landlord?
Prospective tenant gives landlord the right to contact any references given, whether prospective tenant is approved or not, and gives permission to any above mentioned reference to release information to Lisa Hering.
By signing below, prospective tenant agrees that all information provided is accurate to the best of his/her knowledge.

Tenant Signature:________________________________________Date:_______________