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Rental Application Texas

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RENTAL/LEASE APPLICATION

Date of Application: ________________________________________________________________


Property Address: ___________________________________________ Unit No.: __________
City, State, Zip Code: ______________________________________________________________

Applicant

First Name _____________________ Middle Initial _______ Last Name ____________________


Date of Birth _______________________ Social Security Number __________________________
Phone Number ________________________ Email Address _______________________________
Driver’s License No. ________________________ Driver’s License State of Issue __________

Applicant

First Name _____________________ Middle Initial _______ Last Name ____________________


Date of Birth _______________________ Social Security Number __________________________
Phone Number ________________________ Email Address _______________________________
Driver’s License No. ________________________ Driver’s License State of Issue __________

Residence History

Provide at least __________ years of history.


Current Address _______________________________________________ Unit No. __________
City, State, Zip Code ___________________________________________
Dates of Residence: From ______/______ To ______/______ Monthly Rent $___________
Reason For Moving ________________________________________________________
Check one: Own Rent Other (specify) _______________________________
If Rent, Name of Landlord ________________________ Landlord Phone No. ______________

Previous Address ______________________________________________ Unit No. __________


City, State, Zip Code ______________________________________
Dates of Residence: From ______/______ To ______/______ Monthly Rent $___________
Reason For Moving ________________________________________________________
Check one: Own Rent Other (specify) _______________________________
If Rent, Name of Landlord ________________________ Landlord Phone No. ______________

Have you ever been evicted? (Check one) Yes No


If yes, provide explanation ___________________________________________________

Have you ever broken a lease? (Check one) Yes No


If yes, provide explanation ___________________________________________________

Employment / Financial

Provide at least __________ years of history.

Current Employer ___________________________ Position/Title ___________________________


Address ___________________________________________________________________________
City, State, Zip Code ________________________________________________________________
Name of Supervisor __________________________ Phone Number ________________________
Dates of Employment: From ______/______ To ______/______
Monthly Income $___________

Previous Employer ___________________________ Position/Title __________________________


Address ___________________________________________________________________________
City, State, Zip Code ________________________________________________________________
Name of Supervisor __________________________ Phone Number ________________________
Dates of Employment: From ______/______ To ______/______
Monthly Income $___________

Previous Employer ___________________________ Position/Title __________________________


Address ___________________________________________________________________________
City, State, Zip Code ________________________________________________________________
Name of Supervisor __________________________ Phone Number ________________________
Dates of Employment: From ______/______ To ______/______
Monthly Income $___________

Other Sources of Income


(Provide any other sources of income that you want the Landlord to consider.)

Source of Income ______________________________ Amount of Income $___________


Source of Income ______________________________ Amount of Income $___________
Source of Income ______________________________ Amount of Income $___________

Financial Accounts
(Examples include Savings Account, Checking Account, Credit Account)

Name __________________________________ Account Type ______________________________


Account Number ____________________________________________________________________

Name __________________________________ Account Type ______________________________


Account Number ____________________________________________________________________

Name __________________________________ Account Type ______________________________


Account Number ____________________________________________________________________

Name __________________________________ Account Type ______________________________


Account Number ____________________________________________________________________

Name __________________________________ Account Type ______________________________


Account Number ____________________________________________________________________
List All Other Occupants at the Property

Name ________________________ Age __________ Relationship _____________________


Name ________________________ Age __________ Relationship _____________________
Name ________________________ Age __________ Relationship _____________________

Vehicles to be Parked at Property

Vehicle Make _____________________ Model ____________________ Year __________


Color ____________ License Plate Number __________________________State __________

Vehicle Make _____________________ Model ____________________ Year __________


Color ____________ License Plate Number __________________________State __________

Pets

Do you have any pets? (Check one) Yes No


If Yes, Type ________________ Breed ______________________ Weight ____________

Smoking

Do any of the occupants smoke? (Check one) Yes No

Other

Have you ever been convicted of a crime? (Check one) Yes No


If yes, provide explanation ___________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Have you ever declared bankruptcy? (Check one) Yes No


If yes, provide explanation ___________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Emergency Contact

First Name _____________________ Middle Initial _______ Last Name ____________________


Address ___________________________________________________________________________
City, State, Zip Code ________________________________________________________________
Relationship _________________________ Phone Number ________________________

Personal References

First Name _____________________ Middle Initial _______ Last Name ____________________


Address ___________________________________________________________________________
City, State, Zip Code ________________________________________________________________
Relationship _________________________ Phone Number ________________________
First Name _____________________ Middle Initial _______ Last Name ____________________
Address ___________________________________________________________________________
City, State, Zip Code ________________________________________________________________
Relationship _________________________ Phone Number ________________________

It is against the law to discriminate against any person in the terms, conditions or privileges
or rental of a dwelling, or in the provision of services or facilities in connection with such
dwelling, because of race, color, religion, sex, handicap, familial status or national origin.
State and local laws may protect additional classes from housing discrimination.

Applicant authorizes the verification of all statements and information provided in this
application including rental history, current and previous employment and income, bank and
credit account details and any other relevant information necessary for Landlord to evaluate
this application. If Applicant has provided any false or incomplete information in this
application, Landlord may reject this application and/or terminate the lease agreement.

Application Fee (Check one)


There is NO application fee.
Applicant will pay a non-refundable application fee in the amount of $___________ for
Landlord's review and verification of the statements and information contained in this
application.

Applicant certifies that all statements provided in this Lease Application are true, correct and
complete.

Applicant Signature _______________________________

Date ________________

Landlord Signature _______________________________

Date ________________

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