Rental Application
National template — choose your state above to add its rules
1. Home Applied For
Applicant is applying to rent the home below from the landlord named at the end of this form.
Street address, city, state, ZIP of the home
Unit number
Move-in date wanted
Monthly rent
2. Applicant
Full legal name
Date of birth
Phone
Government ID type and number
Social Security number (or the ID number used for screening)
Other adults who will live in the home and are also applying (names)
3. Current Home
Current home: street address, city, state, ZIP
Lived there from
Until
Monthly rent
Landlord or property manager
Their phone or email
Reason for leaving
4. Previous Home
Previous home: street address, city, state, ZIP
Lived there from
Until
Monthly rent
Landlord or property manager
Their phone or email
Reason for leaving
5. Employment & Income
Employer
Employer address
Supervisor name
Supervisor phone or email
Job title
Start date
Gross monthly income
Other income: source
Other income: amount per month
6. Other Occupants
Everyone who will live in the home besides Applicant:
Name
Relationship
Age
Name
Relationship
Age
Name
Relationship
Age
7. Pets
Pets: ☐ none ☐ yes (list below). Assistance animals for a person with a disability are not “pets” and are handled under fair-housing law.
Kind and breed
Age
Weight
Kind and breed
Age
Weight
8. Vehicles
Make and model
Year
License plate and state
Make and model
Year
License plate and state
9. Emergency Contact
Name
Relationship
Phone
10. Application Fee
An application fee of $________ ☐ is ☐ is not required with this application. Landlord will tell Applicant in writing what the fee covers, and will refund any part of it as state law requires.
Fee paid on (date)
Paid by
Received by
12. Signatures
Applicant signature
Date
Co-applicant signature
Date