Rental Application Page 2
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1
2REALTOR® ASSOCIATION OF THE FOX VALLEY
REFERENCES
APPLICANT #1
APPLICANT #2
1. Current Landlord
1. Current Landlord
Phone:
Phone:
Address:
Address:
Length of Time Known:
Length of Time Known:
2. Previous Landlord
2. Previous Landlord
Phone:
Phone:
Address:
Address:
Length of Time Known:
Length of Time Known:
3. Personal Reference
3. Personal Reference
Phone:
Phone:
Address:
Address:
Length of Time Known:
Length of Time Known:
4. Professional Reference
4. Professional Reference
Phone:
Phone:
Address:
Address:
Length of Time Known:
Length of Time Known:
OPTIONAL
CO-SIGNER INFORMATION (
)
Name:
Relationship to Applicant:
Address:
Phone:
Social Security #:
Driver's License #:
Date of Birth:
E-Mail Address:
EMERGENCY CONTACT INFORMATION FOR APPLICANT(S)
Name
Address
Phone
Are you able to handle minor maintenance/upkeep in the property?
Yes_____ No_____
***If you marked “Yes” for any of
Do you have renter’s insurance?
Yes_____ No_____
these questions, please explain
Do you have water filled furniture?
Yes_____ No_____
on the backside of this document.
Have you ever filed for bankruptcy?
Yes_____ No_____
Have you ever been convicted of a felony?
Yes_____ No_____
Have you been evicted or are you now undergoing an eviction?
Yes_____ No_____
Do you smoke?
Yes_____ No_____
place a checkmark in the box if attached
DOCUMENT(S) ATTACHED TO APPLICATION (
)
Paystubs (2 most recent)
Driver's License
Credit Report
Criminal Background
Sex Offender Registry
A fee of $_____________ is charged to all rental applicants for the purpose of verifying the information furnished on this application.
Applicant(s) consent that Lessor or the Lessor’s Designated Licensee representing the Lessor may contact Employers, Previous Landlords,
and References for the purposes of identity and application verification. Applicant(s) permit the Designated Licensee representative to
perform appropriate background checks and obtain information from credit reporting sources and law enforcement agencies. Applicant(s)
acknowledge that this Application will become part of the Lease Agreement when approved. If any information is found to be incorrect, the
application and any subsequent Lease Agreement may become void. False and misleading statements will be sufficient reason for
immediate eviction and loss of security deposit(s).
Signature of Applicant #1 _________________________________________ Date ___________
Signature of Applicant #2 _________________________________________ Date ___________
Signature of Co-Signer
_________________________________________ Date ___________
REALTOR® INFORMATION
Name
Brokerage
Contact Phone
E-Mail Address
Rental_Application- REALTOR® Association of the Fox Valley, Inc. 05/11
Page 2 of 2
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