Rental Application Form

ApplicantPrimary person applying for the rental property listed above. Information

Co-applicantAnother person also applying for the rental property listed above. Information

OccupantsA person that resides in or uses the space besides the Applicant (i.e. - Children, parents)

AnimalsAny living species not listed as an applicant or occupant that will reside in the space.

ApplicantPrimary person applying for the rental property listed above. Current Residence

Co-applicantAnother person also applying for the rental property listed above. Current Residence

ApplicantPrimary person applying for the rental property listed above. Past Residence

Co-applicantAnother person also applying for the rental property listed above. Past Residence

Check here if residence is the same

ApplicantPrimary person applying for the rental property listed above. History

Have you declared bankruptcy in the past 7 years?	Yes:	No:
Have you ever been evicted from a rental residence?	Yes:	No:
Have you had two or more late rental payments in the past year?	Yes:	No:
Have you ever willfully or intentionally refused to pay rent when due?	Yes:	No:
Please Explain Any of the "Yes" Responses Above:
Characters: (300 remaining)

Co-applicantAnother person also applying for the rental property listed above. History

Have you declared bankruptcy in the past 7 years?	Yes:	No:
Have you ever been evicted from a rental residence?	Yes:	No:
Have you had two or more late rental payments in the past year?	Yes:	No:
Have you ever willfully or intentionally refused to pay rent when due?	Yes:	No:
Please Explain Any of the "Yes" Responses Above:
Characters: (300 remaining)

ApplicantPrimary person applying for the rental property listed above. Current Income / Employment

Co-applicantAnother person also applying for the rental property listed above. Current Income / Employment

Emergency Contact:Someone to contact in case of an emergency.

Name:
Address:
Phone:
Relationship:

References:List 3 people that would recommend you for this property. No family members, no work supervisors previously listed on list application. (Good examples: Co-workers who have been to your home, past neighbors who know how you maintain your dwelling, someone you do business with who can attest to your trustworthiness).

Name 1:
Address 1:
Phone 1:
Relationship 1:
Name 2:
Address 2:
Phone 2:
Relationship 2:
Name 3:
Address 3:
Phone 3:
Relationship 3:

Co-Signer:Co-signers must be related to the applicant (Parent, Child or other close relative), or be a legal guardian for the applicant, and with adequate resources to pay the rent if the applicant cannot. Rubey Realty MAY request a co-signer based on approval.

Name:
Address:
Phone:
Relationship: