Home Realty Company Rental Application
Office phone 256-236-4663 / Fax 256-236-5366
Property Address: __________________________________________
Primary Tenant:
Name: __________________________________________ D.O.B.: ______________
SS#: _________________________Current home phone #: ___________________
Current Address: (Street)_____________________________________________________
(City)____________________ (State)_____ (Zip)__________________
How long there? ____________________ Rent or Own? ______________________
Landlord’s Name & Phone #: _______________________________________________
Previous Address: (Street)____________________________________________________
(City)_______________________ (State)_____ (Zip)________________
How long there? _____________________ Rent or Own? ________________________
Landlord’s Name & Phone #: _______________________________________________
Current Employer: ________________________ Work phone #: ________________
Name of Supervisor: ______________________ How long there? _______________
Income ____________________________________
Spouse or Roommate:
Name: __________________________________________ D.O.B.: ________________
SS#: __________________________ Current home phone #: _____________________
Current Employer: ________________________ Work phone #: _________________
Name of Supervisor: _______________________ How long there? _______________
Income _____________________________________
Current Address: (Street)_____________________________________________________
(City)_______________________ (State)_______ (Zip)______________
How long there? _____________________ Rent or Own? __________________
Landlord’s Name & Phone #: _______________________________________________
Additional Information:
Number of Adults and Children to live in Property: ___Adults ___Children
Do you own a pet? Yes or No Describe: _____________________________________
In the event of an Emergency, notify: (Name)___________________________________
(Phone)____________________ (Address)___________________________________________
Nearest Relative: (Name)_________________________________ (Phone)______________
Personal References:
Name Address Daytime Phone #
1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
4. ___________________________________________________________________________
I/We certify that the above information is accurate and we understand that Home Realty Company will verify the information. I/We hereby give our consent to have Home Realty Company or any credit bureau which it may designate, to obtain any and all information concerning our employment, obligations, and all other credit matters which they may require, in connection with our rental application. I/We also authorize the release of the aforementioned information by the employer, credit bureau, financial institution, government agencies, and all other grantors of credit as listed on our rental application. This form may be reproduced or photocopied and the copy shall be as effective as the original letter, which we have executed on the undersigned date.
I understand that I am to pay an application fee to Home Realty Company and I further understand that this fee is non-refundable.
_______________________________________ _______________________
Primary Tenant Date
_______________________________________ _______________________
Spouse or Roommate Date
To Print a printer friendly copy Click Here.
(click open when the grey box pops up)
|
