Rental Application

Present Address City State & Zip Date of Birth Drivers License Number Social Security # Do you have any Pets? How many? What kind? Phone Which property are you inquiring about? How many children do you have?

What are you looking for?

Application details

What is the most you can pay per month? When are you looking to move in? Why are you looking to move? Is your credit good, fair, or ugly? Credit score: Have you had a bankruptcy? When? Have you had foreclosures? When? Have you ever been evicted? Please explain: Have you ever had a late rent payment? Please explain: Have you ever been served a 5 day notice? Please explain: Have you ever been convicted of a felony? If you have lived at your present address for less than 2 years, what was your previous address? Rent/mo: Phone number: How long? Supervisor: Phone: Where does your partner/spouse work? Address: Name Phone:

Emergency Contact

City, State, Zip Name Phone Name: City, State, Zip How long? Previous landlord: State: Address Phone Address Name City, State, Zip Phone: Address City, State, Zip Phone: Name

Other comments:

After the application has been submitted and reviewed, the last 2 months pay stubs will be requested from all adults living in the house.

Each of the undersigned represents, warrants and certifies that the information provided herein is true, correct and complete. By my signature below, I hereby give my permission for Bloomington Home Buyers to investigate my credit and employment history and I authorize release of all credit related information to them. Applicant also gives authorization to Decatur Rental Properties to speak to all references and previous Landlords about any accounts, financial matters, and rental history.

Date: Applicant's signature: Date:

Please type the letters you see - into the box.

City:

Applicant's signature:

Credit Reference #2

Credit Reference #1

Address

Personal Reference #2

City, State, Zip

Personal Reference #1

Phone: Supervisor: Where do you work? What is your rent/mo? Landlord Phone: Who is your landlord? Is your present address a rental? Is there anything negative on your credit that we should know about? Have you ever been party to a lawsuit? What is the monthly income of all adults? Email Full Name(s) of Applicants

Applicant (s) Information