|
Indiana Rental Application
Indiana Rental Application Landlord _________________________________________ Date ______________________ Location of Residence _________________________________________________________ TENANT INFORMATION: Full Name ___________________________________________________________________ Home Phone ( ) ________ Work Phone ( ) __________ Cell Phone ( ) __________ Date of Birth _____________ Social Security No. ___________________________________
Drivers License No. ___________________________________________ State ___________ Co-Applicant Name ____________________________________________________________
Co-Applicant
Date of Birth ___________ Co-Applicant Social Security No. _______________
Names and Ages of everyone who will live in the residence
List all pets
___________________________________________________________________
Email Address ________________________________________________________________
Vehicle Make/Model ____________________ Year _____ License/State _________________
Take a look at all of my FREE RENTAL FORMS
EMPLOYMENT INFORMATION:
Applicants Employment Status ___ Full Time ____ Part Time ____ Student ____
Unemployed
Employer______________________________________________________________________
Address ______________________________________________________________________
Job Title ___________________________ Dates employed ____________________________
Supervisor Name _________________________ Phone ( )
___________________________
Monthly Pay __________________
If you would like us to consider other sources of income for this
Rental Application, please list the amount
and the person we may contact for confirmation. Please do not reveal alimony,
child support, or anyone else’s income unless you want us to consider it in this
Indiana Rental Application.
Amount $_____________________________________________________________________
Contact
Name _________________________________________________________________
RESIDENTIAL HISTORY FOR LAST
3 YEARS:
Current Address _______________________________________________________________
Move In Date ________________________ Rent $____________________________________
Owner/Agent _________________________________________Phone ( ) _____________
Reason for Leaving
_____________________________________________________________
Previous Address ______________________________________________________________
Move In Date ______________ Move Out Date ______________ Rent $__________________
Owner/Agent _________________________________________Phone ( ) _____________
Reason for Leaving _____________________________________________________________
Previous Address ______________________________________________________________
Move In Date ______________ Move Out Date ______________ Rent $__________________
Owner/Agent _________________________________________Phone ( ) _____________
Reason for Leaving _____________________________________________________________
CREDIT HISTORY: Have
you every filed bankruptcy? Yes ___________ No
___________
Have you ever
been evicted from a rental residence? Yes ___________ No
___________ Are you
a party to any lawsuits? Yes ___________ No
___________ Have
you had any late rental payments in the last year? Yes ___________ No
___________ Are
there any judgments against you? Yes ___________ No
___________ If you
answered yes to any of the above questions, please explain REFERENCES: Bank References Bank Name ___________________________________________________________________ Account Type _________________ Account No. _____________________________________ Bank Name ___________________________________________________________________ Account Type _________________ Account No. _____________________________________ Credit References Name ____________________________________________ Phone ( ) __________________ Name ____________________________________________ Phone ( ) __________________ Name ____________________________________________ Phone ( ) __________________ By my signature below, I represent that all of the information that I have disclosed in this Indiana Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application.
NAME _________________________________________ DATE ________________________
NAME _________________________________________ DATE ________________________ AUTHORIZATION I
authorize Landlord to order and review my credit and criminal history and
investigate the accuracy of all information contained in this
Indiana Rental Application. I further authorize all banks, employers, and
creditors to provide Landlord any and all information concerning my credit. NAME _________________________________ DATE _______________________
NAME _________________________________ DATE _______________________ Return from Free Indiana Rental Application to Law For Landlords
|
|