RENTAL APPLICATION
Neatly complete all
information below. All applicants over the age of 18 must complete and sign
their own application.
Applicant’s Full Name _________________________ Phone# _____________D.O.B ___/___/___
Social Security # ____-____-_____ Driver’s License #
Current Address ___________________________________ City/State/Zip ___________________
Current Landlords Name _____________________________ Landlords Phone # ______________
How long at this address _____ Reason for leaving _______________________________________
Previous Address ___________________________________ City/State/Zip __________________
Previous Landlords Name ____________________________ Landlords Phone # ______________
How long at this address______ Reason for leaving ______________________________________
Auto Yr. _______ Make _________ Model ____________ License Plate# / State_______________
Present Employer ______________________ Position ______________ Monthly Income _______
Employee Address __________________________ City/State _____________________________
Phone# ____________ How long at this job _______ Other Income/Source ___________________
Banking Information
Name of Bank ________________________Branch ___________ Type of Account ____________
Name of Bank ________________________Branch ___________ Type of Account ____________
Personal References
Name_________________________ Yrs Known_____ Relationship________ Phone#__________
Name_________________________ Yrs Known_____ Relationship________ Phone#__________
Name_________________________ Yrs Known_____ Relationship________ Phone#__________
Total number of adults _____ Total number of children living with you under the age of 18 _______
Names and relations of all other applicants ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a tenant decision. I understand that the landlord may terminate any rental agreement entered into for any misrepresentation made above.
Applicant: ____________________________________________ Date: ______________________
Applicant: ____________________________________________ Date: ______________________
Darrell Thomas, P.O. Box 418, Conway, AR 72033, (501) 514-5087, www.fitz-properties.com