Landlord Application Form - SB RENTAL HOUSES

Your Name*

First Middle Last

Co-Applicant Name

First Middle Last

Property You're Interested In*

Street Address

Date of Birth*

Co-Applicant Date of Birth

Social Security #*

Co-Applicant Social Security #

How many people will be living in the house?*

Names of people that will be living in the house*

How long have you lived in current location?*

Tenants are responsible for minor maintenance like lawn, furnace filters, sewer clogs. Is this ok ?*

Yes
No

Current Address*

Street Address City State ZIP Code

Phone*

Co-Applicant Phone

Email

Move In Date*

Tell Us About Yourself: Names of Dependents

List All Pets

Current Landlord Phone #

Have you declared bankruptcy in the past seven (7) years?*

Yes
No

Reasons for Leaving*

Rent $*

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

Can you receive text messages?*

Yes
No

Have you ever been convicted of a crime?*

Yes
No

If you have been convicted of a crime, please explain

Employer Info*

Co-Applicant Employer Info

Your Monthly Income*

Co-Applicant Monthly Income

Your job Status*

Co-Applicant Status

Full Time?*

Yes
No

Co-Applicant Full Time?

Yes
No

Dates Employed*

Supervisor Name/Phone #*

Other sources of income

Emergency Contact*

Personal Reference 1*

Personal Reference 2*

Your Driver's License Number*

Co-Applicants Driver's License Number

Vehicle Information: Make / Model*

Year*

License Plate #*

Please give any additional information that might help owner/management evaluate this application

Where and when may we reach you to discuss this application?*

Day Phone #*

Night Phone #*

The above information, to the best of my knowledge, is true and correct*

Yes
No

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Phone

This field is for validation purposes and should be left unchanged.