Apartment Rental Application

DALE RESIDENCES RENTAL APPLICATION

1. Legal Name

First Name

Middle Name

Last Name

Other Names Used

Soc Sec #

DOB

Dr Lic #

State

Applicant Phone #

E-Mail Address

Facebook Link

Spouse

First Name

Middle Name

Last Name

Other Names Used

Soc Sec #

DOB

Dr Lic #

State

Applicant Phone #

E-Mail Address

Facebook Link

2. Current Address

Address

Landlord Phone #

City

State

Zip Code

Landlord Address

How Long

Current Rent

Has proper notice been given?

Current Landlord/Mortgage Lender

Reason for Moving

3. PREVIOUS ADDRESS

Rental Address/Zip Code

Dates Occupied

Landlord

Landlord Phone

Previous Landlord Address

4. 1ST PERSON INCOME

Current Employer

Employer Address/Zip

Phone #

Job Title

Date Employed

Name of Supervisor

Gross Income /year

$ /month

5. SPOUSE INCOME

Current Employer

Employer Address/Zip

Phone #

Job title

Date Employed

Name of Supervisor

Spouse Gross Income /year

$ /month

Other Income: Source

Amount $ /month

6. LEGAL NAMES OF ALL PEOPLE THAT WILL OCCUPY UNIT INCLUDING YOURSELF AND MINORS

Names

Relationship

Age

Name

Relationship

Age

Name

Relationship

Age

7. PERSONAL HISTORY

Have you ever been charged with or convicted of a felony? YesNo

If yes, what year and city/county?

Are you a registered sex offender? YesNo

Do you have a pet? YesNo

If yes, what kind

Weight

We require a photo & vet verification of breed letter for all dogs

If dog, what breed

Have you been asked to move out or been evicted? YesNo

If yes, what year?

If you answered yes to any of these questions, please explain:

8. IN CASE OF EMERGENCY NOTIFY:

Name

Address

City

State

Zip

Phone (h)

(w)

(c)

Relationship

9. VEHICLE(S)

Make/Model

Year

Color

Lic Plate #

Make/Model

Year

Color

Lic Plate #