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Property Number:
Address:
Anticipated length of occupancy:

Rafter Square Rental Application
October 10, 2024                                  Occupancy shall be only for those listed below

Applicant's first name Last name Phone number
Drivers license # & State  Social security # Birthdate (YYMMDD)

Co-applicant's first name Last name Phone number 
Drivers license # & State Social security # Birthdate (YYMMDD)
Children or other occupants names & ages.
E-Mail address(es) where you prefer to be contacted:

RESIDENCE HISTORY

Present Address:
City:
State:
Zip:
How long?
Phone number
Own
Rent

Name and address of present landlord

Landlord's phone #

Monthly Rent
$

Previous Address:
Prev City:
Prev State:
Prev Zip:
How long at previous address?
Prev Phone number
Own
Rent

Name and address of previous landlord

Prev Landlord's phone #

Previous Monthly Rent
$

EMPLOYMENT HISTORY

Applicant employed by:

Supervisor:

How long?:

Applicant's Employer's Address:
Position:
Monthly Pay:
$

Applicant's Previous employer:

Previous Supervisor:

How long with prior employer?:

Applicant's Previous Employer's Address:
Previous Position:
Previous Monthly Pay:
$

Co-Applicant employed by:

Supervisor:

How long?:

Co-Applicant's Employer's Address:
Position:
Monthly Pay:
$

Other Income

VEHICLE INFORMATION
Vehicle 1: Make and Model
License #
Color
State
Financed/Leased thru
Phone
Account #
Monthly payment
$
Vehicle 2: Make and Model
License #
Color
State
Financed/Leased thru
Phone
Account #
Monthly payment
$

PERSONAL REFERENCES
Name 1:
Phone 1:
Name 2:
Phone 2:
Name 3:
Phone 3:
Name 4 (Optional):
Phone 4:
Family Name:
Phone:
Relationship:
Cotenant Family:
Phone:
Relationship:

CONTACTS
Emergency contact
Relationship
Emergency phone
Night phone
.
Have you ever filed for bankruptcy?
No Yes
Have you ever been evicted from any tenancy?
No Yes
Have you ever been convicted of a criminal offense?
No Yes
Does anyone in your household smoke?
No Yes
.
I DECLARE THE FOREGOING TO BE TRUE UNDER THE PENALTY OF PERJURY. I authorize you to verify any reference. By submitting below, I represent that the contents herein are true and correct. I consent to the landlord contacting any of my past and present employers, superiors, references, landlords or any referral service operated for landlords. I consent to the landlord obtaining a credit report on me or any other tenant, named herein. I further understand and agree that the landlord may release information regarding my tenancy and desirability as a tenant to any referral service operated by other landlords or to other landlords, and I agree to idemnify and hold harmless the landlord from any and all claims in any way related to the release of the information.

Applicant__________________________________ Co-Applicant__________________________________

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