RENTAL APPLICATION
Every occupant over the age of 18 MUST fill out a separate application (even if married).
Please fill out this form COMPLETELY and sign where indicated.
YEAR
YEAR
NAME
NAME
NAME
NAME
NAME
NAME
NAME
NAME
CURRENT EMPLOYER
SUPERVISOR
ADDRESS
CURRENT EMPLOYER
SUPERVISOR
ADDRESS
CURRENT
INCOME $_______________
CURRENT
INCOME $_______________
© 2021-2025 Atanis Realty Co. LLC
FIRST NAME
DATE OF BIRTH
PHONE
LENGTH OF TIME
REASON FOR LEAVING
PREVIOUS HOME ADDRESS
LENGTH OF TIME
REASON FOR LEAVING
NEXT PREVIOUS HOME ADDRESS
LENGTH OF TIME
REASON FOR LEAVING
WEEKLY
WEEKLY
WEEKLY
MAKE
MAKE
BIWEEKLY
BIWEEKLY
BIWEEKLY
CELL HOME
MONTHLY
MONTHLY
MONTHLY
TYPE/BREED
TYPE/BREED
TYPE/BREED
RELATIONSHIP TO APPLICANT
RELATIONSHIP TO APPLICANT
RELATIONSHIP TO APPLICANT
RELATIONSHIP TO APPLICANT
RELATIONSHIP TO APPLICANT
MODEL
MODEL
YEARLY
YEARLY
YEARLY
MIDDLE
When would you like to move in?
PHONE
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PRESENT LANDLORD
PREVIOUS LANDLORD
SOURCE
SOURCE
SOURCE
NEXT PREVIOUS LANDLORD
OCCUPATION
PHONE
CITY/STATE/ZIP
OCCUPATION
PHONE
CITY/STATE/ZIP
LAST
COLOR
COLOR
CITY/STATE/ZIP
CITY/STATE/ZIP
EXT.
CITY/STATE/ZIP
AMOUNT OF RENT
AMOUNT OF RENT
AMOUNT OF RENT
INDOOR
INDOOR
INDOOR
OCCUPATION
OCCUPATION
OCCUPATION
OCCUPATION
OCCUPATION
HOME
PLATE #
PLATE #
EXT:
EXT:
WORK
OUTDOOR
OUTDOOR
OUTDOOR
S.S.#
DRIVERS LICENSE #
EMAIL
STATE
STATE
LANDLORD PHONE
Was your rent up to date?
LANDLORD PHONE
Was your rent up to date?
HOURS/WEEK
YEARS EMPLOYED
HOURS/WEEK
YEARS EMPLOYED
AGE
AGE
AGE
AGE
AGE
AGE
AGE
AGE
PROOF OF INCOME
PROOF OF INCOME
PROOF OF INCOME
LANDLORD PHONE
Is your present rent up to date?
STATE
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
INCOME
EMPLOYMENT
PROPOSED PET(S)
PERSONAL INFORMATION
VEHICLE(S) INFORMATION
PROPOSED OCCUPANT(S)
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PRESENT HOME ADDRESS
Unit Code (office use only):____________________
CURRENT
INCOME $_______________