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Residential Rent Application LT-105 - Legal Forms

Residential Rent Application Form. This is a Legal Forms form and can be used in Leases And Tenancies .
 Fillable word Last Modified 4/17/2009
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[List landlord's name, address, and phone] RESIDENTIAL RENTAL APPLICATION (Each adult to complete separate application) Property/Unit: Please print clearly 1. Name of Applicant Present Address How Long There? 2. Present Landlord Address Monthly Rent 3. Previous Landlord Address Monthly Rent Reason for Leaving 4. Full names of all individuals (and ages of all children) who will be occupying premises 5. Pets (specify) 6. Have you ever been evicted, sued for nonpayment of rent, or breached a lease (if so, explain)? How Long There? Reason for Leaving Phone S.S. Number Phone Phone 7. Present Employer Address Gross Monthly Salary 8. Previous Employer Address Gross Monthly Salary 9. Other Income, if any (specify source) 10. Bank-Checking Account Address 11. Bank-Savings Account Address 12. Bank-Additional Account Address 13. Credit Cards: (1) (2) (3) 14. Loans: (1) Lender Address Bank Bank Bank Phone Occupation Length of Employment Phone Occupation Length of Employment Account Number Approximate Balance Account Number Approximate Balance Account Number Approximate Balance Card Number Card Number Card Number Balance Monthly Payment (2) Lender Address Balance Monthly Payment 15. Other Debts and Obligations, if any (specify) 16. Personal Reference Address 17. Automobiles: Your License Number (1) Make/Model (2) Make/Model Year Year Plate Plate State State State Phone 18. In case of emergency notify Address Phone I certify that the above information is true and complete. I authorize the verification of this information by contacting any or all individuals and financial institutions listed above. I understand that this is not a lease or an offer to rent. No binding obligation of any kind exists between the owner and myself unless and until a lease is signed. This Application is subject to prior Applications. This Application shall remain the property of the owner. Signature of Applicant Name of Applicant NO PERSON SHALL BE DENIED THE RIGHT TO RENT OUR PROPERTY BECAUSE OF THEIR RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN OR ANCESTRY. Date American LegalNet, Inc. © www.FormsWorkFlow.com
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