Download Application

The following Rental Application may be downloaded and then emailed to 

elainecorsa@yahoo.com  or faxed to 800-775-1012

______________________________________________________________________________________________

                                                       RENTAL APPLICATION

ADDRESS OF THE PROPERTY YOU ARE APPLYING FOR:

____________________________________________________________________________________________

1. APPLICANT INFORMATION?             

Full Name ________________________________               Full Name __________________________________

Social Security number _______________________             Social Security Number   _____________________

Drivers License No/State _____________________              Drivers License No/State  ____________________

Phone Number _____________________________               Phone Number _____________________________

Present Address ____________________________               Present Address ____________________________

Zip ______________________________________                Zip ______________________________________

____ Own   ___Rent                                                                   ____ Own  ______Rent

From: ____________   To: ___________________                  From: _________________ To: _______________

Rent/Mortgage $ ________________________/mo                  Rent/Mortgage $ ________________________/mo

Landlord Name & Phone____________________                    Landlord Name & Phone ____________________

________________________________________                     _________________________________________

Previous Address ___________________________                Previous Address ___________________________

Zip ______________________________________                 Zip ______________________________________

____ Own  ______Rent                                                           _____ Own  ________ Rent

From: ____________ To: ____________________                From: __________________ To: ________________

Rent/Mortgage $ ___________________________               Rent/Mortgage $ _____________________________

Landlord Name & Phone____________________                  Landlord Name & Phone ______________________

________________________________________                  ___________________________________________

Emergency Contact: _______________________                   Emergency Contact : _________________________

   2. EMPLOYMENT INFORMATION

Employer _______________________________                   Employer ___________________________________

Employer Address: ________________________                  Employer Address: ___________________________

________________________________________                ______________________________________________

Phone __________________________________                  Phone ________________________________________

Supervisor: _______________________________                Supervisor : ___________________________________

Position __________________________________               Position ___________________________________

Gross Income: $ _______________________/mo OR          Gross Income: $ _________________________/mo OR

$ _____________/hr, for ___________hrs per week             $ ______________/hr, for ______________hrs per week

Employer From ___________ To ______________              Employed From___________ To _________________

  3. OTHER INCOME

Alimony, child support

   4. BANK ACCOUNT INFORMATION

Bank Name: _________________________                           Bank Name: __________________________________

  5. OTHER OCCUPANTS AND THEIR AGE

____________________________________                          _______________________________________

______________________________________                      _________________________________________

   6. PETS

Do you have any pets?   ______Yes  _________No        Do you have any pets? __________Yes ____________No

   7. OTHER INFORMATION

Applicant 1                                                                                                                Applicant 2

___ Yes ___No  Have you ever declared bankruptcy or suffered foreclosure?  _____ Yes ________No

___ Yes ___No  Have you ever been evicted ro sued for unpaid rent?              _____ Yes ________No

___ Yes ___No  Have you ever been convicted of felony or misdemeanor?      ____ Yes ________No

If you answered 'yes' to any of the above questions, please explain:
_____________________________________________________________________________________________

_____________________________________________________________________________________________

   8. CONDITION OF PROPERTY

 The property will be leases in the same condition as it is shown unless otherwise agrees to in writing in paragraph 9 below in attached addendum.

   9. AUTHORIZATION: 

 Applicants authorize Landlord to obtain any information deemed necessary to evaluate this Application. This information may include, but is not limited to, credit reports, criminal history, judgments of record,  rental history, verification of employment and salary, employment history, vehicle records, and licensing records. Applicants acknowledge  that all information in the Application is true and correct. Applicants acknowledge that if they present false or incomplete information Landlord may reject this Application. Applicants understand that giving false or incomplete information may  result in forfeiture of any payments made in connection with this Rental Application.

  10. I HAVE READ AND AGREE TO THE PROVISIONS AS STATED.

   APPLICANT 1 ___________________________________         DATE _______________________________

  APPLICANT 2 ___________________________________          DATE ________________________________