Rental Application

Express Realty - Application to Rent
APPLICANT INFORMATION
Applicant is completing application as a (check one):*

TenantTenant w/ Co-Tenant(s)
Total Number of Applicants:*
PREMISES INFORMATION
Application To Rent Property At:*
City:*
Rent Per Month:*
Proposed Move-In Date:*

MonthDayYear
PERSONAL INFORMATION
Full Name*

First NameMiddle InitialLast Name
Date of Birth*

MonthDayYear
SSN:
E-mail:*
Cell Phone:*

Area CodePhone Number
SPOUSE INFORMATION
Full Name

First NameMiddle InitialLast Name
Date of Birth

MonthDayYear
SSN:
E-mail:
Cell Phone:

Area CodePhone Number
OCCUPANT INFORMATION
Names and Ages of All Additional Occupants:
Number of Pets:
Breed of Pet(s):
RESIDENCE HISTORY
Current Address:*
City/State/Zip:*
From:*
To:*
Monthly Rent:*
Name of Landlord:*
Landlord's Phone:*
Do You Own This Property?*

YesNo
Previous Address:
City/State/Zip:
From:
To:
Monthly Rent:
Name of Landlord:
Landlord's Phone:
Do You Own This Property?

YesNo
EMPLOYMENT AND INCOME HISTORY
Current Employer:*
From (MM/YY):*
To (MM/YY):*
Employer's Address:*
City:*
Supervisor's Name:*
Position / Title:*
Phone to Verify Employment:*
Employment Gross Income (Per Month):*
Previous Employer:
From (MM/YY):
To (MM/YY):
Employer's Address:
City:
Supervisor's Name:
Position / Title:
Employment Gross Income (Per Month):
EMPLOYMENT AND INCOME HISTORY (SPOUSE)
Current Employer:
From (MM/YY):
To (MM/YY):
Employer's Address:
City:
Phone to Verify Employment:
Employment Gross Income (Per Month):
CREDIT INFORMATION
Name of Bank*
Type of Account*
Account Balance*
PERSONAL REFERENCES
Name:
Address:
City:
Phone:

Area CodePhone Number
Length of Acquaintance:
Occupation:
NEAREST RELATIVE
Name:*
Address:*
City:*
Phone:*

Area CodePhone Number
Relationship:*
ELECTRONIC SIGNATURE
TYPE YOUR NAME BELOW AS PROOF

Applicant understands and agrees: (i) this is an application to rent only and does not guarantee that applicant will be offered the Premises; and (ii) Landlord or manager or agent may accept more than one application for the Premises and, using their sole discretion, will select the best qualified applicant, Applicant represents the above information to be true and complete, and hereby authorizes Landlord, Manager, or Agent to: verify the information provided and (ii) obtain a credit report on applicant. By signing the application, the prospective tenant is consenting to a credit check under the Fair Credit Reporting Act (15 U.S.C. § 1681).
APPLICANT (1):*
DATE:*
APPLICANT (2):
DATE:
Should be Empty:

Express Realty - Application to Rent

APPLICANT INFORMATION

PREMISES INFORMATION

PERSONAL INFORMATION

SPOUSE INFORMATION

OCCUPANT INFORMATION

RESIDENCE HISTORY

EMPLOYMENT AND INCOME HISTORY

EMPLOYMENT AND INCOME HISTORY (SPOUSE)

CREDIT INFORMATION

PERSONAL REFERENCES

NEAREST RELATIVE

ELECTRONIC SIGNATURE