Housing Forms Series 3b
Complete the information in the form.
Applicant's Name
Address
City
State / ZIP
/
Driver's License #
Home or Cell Phone
Work Phone
DOB
-
-
All Proposed Occupants
Age
Relationship to Applicant
References/Emergency Contacts
Doctor
Lawyer
Nearest Living Relative
Name
Street Address
City
State and Zip
Phone Number
Current Residence
Previous Residence
Prior Residence
Street Address
City
State and Zip Code
Amount of rent paid
Dates of Residency
Owner/Manager
Phone #
Reason for leaving
Did you give notice?
Were you asked to leave?
Names in which your utilities are now billed
Employment History
Current Employment
Previous Employment
Prior Employment
Employed by
Address
Phone #
Occupation
Name of Supervisor
Monthly Pay
Dates of Employment
Credit History
Balance
Name of Institution / Bank
Savings Account
$
Checking Account
$
Credit Card
$
Auto Loan
$
Vehicle Make / Model
Color
Year
License Plate
Yes
No
Have you ever been served a late rental notice?
Yes
No
Do any of the people who would be living in the apartment smoke?
Yes
No
Have you ever filed for bankruptcy? If so, when?
How long do you think you would be renting from us?
When would you be able to move in?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Have you ever been served an eviction notice? If so, when?
How many pets do you have? (list type, breed, weight, and approximate age)
Yes
No
Have you had recurring problems with your current landlord? If so, please?
Why are you moving from your current address?
Home
HoF3b1