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Landlord App

LANDLORD APPLICATION name of Applicant________________________________ Phone_____________________ Social Sec. No.______________ Driver's license no. ____________________ State_______Exp ___ ___________________ how long _________ Rent Own (circle one) Do you pay on time? yes no If not, why not? is the mortgage paid up? yes no is there a tax lien against this property? yes no circle one: quit laid off have you ever filed for bankruptcy

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63 views

Landlord App

LANDLORD APPLICATION name of Applicant________________________________ Phone_____________________ Social Sec. No.______________ Driver's license no. ____________________ State_______Exp ___ ___________________ how long _________ Rent Own (circle one) Do you pay on time? yes no If not, why not? is the mortgage paid up? yes no is there a tax lien against this property? yes no circle one: quit laid off have you ever filed for bankruptcy

Uploaded by

api-19712447
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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LANDLORD APPLICATION

Name of Applicant________________________________________________ Phone_____________________


Social Sec. No.______________ Driver’s License No.__________________ State_______Exp ___________

Residence

Present Residential Address___________________________________________________________________


How Long __________ Rent Own (circle one)

Renting? Own?
Name of Rentor_____________________________ Is the mortgage paid up? yes no
Rentor’s phone _____________________________ If not, name of bank holding mortgage ____________
Do you pay on time? yes no ___________________ Bank phone _____________
If not, why not? ______________________________ Mortgage payment amount _____________________
___________________________________________ Is there a tax lien against this property? yes no

Previous Residential Address___________________________________________________________________


How Long __________ Rent Own (circle one)

Employment

Employed Own Business


Name of Employer____________________________ Name of Business_____________________________
Employer’s phone ____________________________ Business phone _______________________________
Position Title ________________________________ Position Title ________________________________
How long there? ______________________________ How long have you been in business? _____________
If not there anymore, circle one: quit laid off
Business license no. ___________________________
Were you fired for cause? yes no State in which business is registered ______________

Previous Employer____________________________ Better Business Bureau Rating __________________


Employer’s phone ____________________________
Position Title ________________________________ Have you ever filed for bankruptcy? yes no
How long there? ______________________________ If yes, how many times?________________________
Circle one: quit laid off

Were you fired for cause? yes no

Other sources of income__________________________________________ Amount pr year ______________


Other sources of income__________________________________________ Amount pr year ______________
References - Landlord History

Please include name of past rentors of your property(s) and phone #

1.

2.

3.

Bank Information

Bank Name:___________________________________________ Phone: ______________________________


Account No. _______________________________________________________________________________

HAVE YOU EVER

* Been the target of an official complaint from a former tenant of your property(s)? yes no
If so, what where the circumstances? ___________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Was the complaint resolved? yes no

* Been sued by a tenant for landlord related legal violations which include (but are not limited to): failure to
perform basic property upkeep, willfull neglect of property safety or failure to return a damage deposit in
whole or in part, when deserved by tenant? yes no
If yes, please cite
court case location____________________________ case #_________________________ date____________
court case location____________________________ case #_________________________ date____________
court case location____________________________ case #_________________________ date____________

* Been tried on a criminal offense, and the case against you dismissed? yes no
* Been convicted of a criminal offense? yes no
Charge___________________________ court location _____________________________________________
case #____________________________________________________________________ date ____________

ACKNOWLEDGEMENT AND CONSENT TO CREDIT CHECK

I _______________________________________________, declare the foregoing information is true and


correct, and I hereby authorize you to conduct an employee, bank and legal check to verify references. I agree
that the rentor/tenant may terminate any lease agreement for said property when relying on any misstatemnents
above.

____________________________________________________________________________
Applicant’s Signature date
copyright 2009 Renters’ Alliance

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