Address
of Rental Property:
Applicants
Legal Name:
Drivers
License #:
Social
Security #
Date
of Birth:
Telephone
#:
Spouse's
Name:
Spouse's
Drivers License #:
Spouse's
Social Security #:
Spouse's
Date of Birth:
Spouse's
Telephone #:
Present
Address:
City:
State:
Zip
Code:
Rent
Amount:
From
what dates:
Landlord:
Manager
Phone #:
Prior
Address:
City:
State:
Zip
Code:
Rent
Amount:
From
what dates:
Landlord:
Manager
Phone #:
Present
Occupation:
Employer:
City:
State:
Zip
Code:
Supervisor:
Phone
#:
How
long?
Wages:
Prior
Occupation:
Employer:
City:
State:
Zip
Code:
Supervisor:
Phone
#:
How
long?
Wages:
Spouse
Present Occupation:
Employer:
City:
State:
Zip
Code:
Supervisor:
Phone
#:
How
long
Wages:
Spouse
Prior Occupation:
Employer:
City:
State:
Zip
Code:
Supervisor:
Phone
#:
How
long?
Wages:
Other
Income: (Child support, Soc Sec, DSHS..)
Case
#:
Bank:
Branch:
Bank
Address:
Checking
Account #::
Savings
Account #:
Car:
Model/Make:
Year:
License
#:
Relative:
Relative
Phone #:
Address:
Have
you had credit under any other name?
If
yes, what was that name?
Have
you ever been evicted?
If
yes, when? and give the address:
Have
you ever refused to pay rent?
If
yes, why?
Have
you ever filed bankruptcy?
If
yes, is the bankruptcy discharged?
Ever
been convicted of a criminal offense?
If
yes, give the date, crime and county:
Pet
Type:
Size:
Do
you own a waterbed?
In
case of emergency, who should we contact?
Phone:
Reason
for moving:
I understand
I acquire no rights to this unit until I sign an agreement
form submitted to me and make a deposit equal to the first
months rent. This deposit to be held in accordance with the
rental agreement & in consideration of the Landlord holding
the unit for me. I hereby waive all rights to the return of
this deposit, and said deposit shall be retained as liquidated
damages in the event I do not choose to enter into the agreement
applied for herein. In the event said application for tenancy
is not accepted, the deposit shall be returned to the applicant.
The screening fee of $30.00 is NON REFUNDABLE. In compliance
with the Fair Credit Reporting Act, we are informing you that
information as to your character, general reputation and mode
of living is being verified by Sandco Corp. and/or its representatives.
You have the right to dispute the information reported. You
certify that the facts set forward in this application are
true and complete. You as the prospective tenant agree that
a complete investigation of ALL INFORMATION on this application
will not constitute invasion of privacy. I/We are aware of
and extend the privilege to Sandco and its representatives
to obtain credit reports and/or character reports as necessary.
I understand that any misrepresentation will be sufficient
cause for dismissal or voiding of the application. You the
applicant agree to all the above and sign of your own free
will.
