Rental Application

Property

Property Address Applying For * Rent Amount

Applicant

Full Name * SS# * Date of Birth * Phone * Driver's License # * State (License) * Email * Expected Move In Date *

Driver's License Copy (photo or scan) *

Applying with a spouse (same last name)?

Household

Other Occupants (Name & Age) * Description of Pets *

Background

Have you ever been convicted of a felony? * If yes, explain: Have you recently filed for bankruptcy? * Have you had any other credit problems, including bad checks? * If yes, please explain:

Applicant - Current Address

Address * City * State * Zip * Landlord * Landlord Phone * Move In Date * Move Out Date * Rent *

Applicant - Previous Address

Address City State Zip Landlord Landlord Phone Move In Date Move Out Date Rent

Spouse - Current Address

Address City State Zip Landlord Landlord Phone Move In Date Move Out Date Rent

Spouse - Previous Address

Address City State Zip Landlord Landlord Phone Move In Date Move Out Date Rent

Nearest Relative

Name Phone Street Address City State Zip

Banking

Bank Name Bank Account Number

Applicant - Current Employer

Employer * Position * Salary * Full or Part Time * Start Date * End Date * Supervisor's Name * Supervisor's Phone *

Applicant - Previous Employer

Employer Position Salary Full or Part Time Start Date End Date Supervisor's Name Supervisor's Phone

Spouse - Current Employer

Employer Position Salary Full or Part Time Start Date End Date Supervisor's Name Supervisor's Phone

Spouse - Previous Employer

Employer Position Salary Full or Part Time Start Date End Date Supervisor's Name Supervisor's Phone

Consent & Signature

Applicant's Signature (type full name) * Date *

Rexus Realty

Access Required

Property

Applicant

Applying with a spouse (same last name)?

Household

Background

Applicant - Current Address

Applicant - Previous Address

Spouse - Current Address

Spouse - Previous Address

Nearest Relative

Banking

Applicant - Current Employer

Applicant - Previous Employer

Spouse - Current Employer

Spouse - Previous Employer

Consent & Signature