Rental Application

Rental Application
Date
Address of the property for which you are applying*
Occupant
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail
Social Security #
Birth Date

MonthDayYear
Driver's License
State
Name of all other proposed occupants
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
Full Name

First NameLast Name
In Case of EMERGENCY - NOTIFY -
Full Name*

First NameLast Name
Address
Phone Number

Area CodePhone Number
Relationship
Do you have any PETS or service animals?
Pets

YesNo
If YES, how many?
Resident History
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Landlord / Property Manager
Phone Number

Area CodePhone Number
Dates of Occupancy
Reason for Leaving
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Landlord / Property Manager
Phone Number

Area CodePhone Number
Dates of Occupancy
Reason for Leaving
Have you been part of an unlawful detainer action or filed bankruptcy within the last 7 years?

YesNo
If YES, explain
Have you or any proposed occupant been convicted of or pleaded no contest to a felony?

YesNo
If YES, explain
Have you or any proposed occupant ever been asked to move out of a residence?

YesNo
If YES, explain
Employment
Current Employer*
Address
Phone Number
Name of Supervisor
Position
Dates: (i.e. 12/10/08 to 06/24/10
Former Employer
Address
Phone Number
Name of Supervisor
Position
Dates: (i.e. 12/10/08 to 06/24/10
Total Annual Income of Household
Vehicle Information
Year
Make
Model
License Plate
Year
Make
Model
License Plate
Applicant(s) understands and agrees that this is a application to rent only and does not guarantee that the applicant(s) will be offered the premises. Landlord or manager may accept more than one application for the premises and, using their sole discretion, will select the best qualified applicant(s).

Applicant(s) represents that the above information to be true and complete, and hereby authorizes landlord or manager to verify the information provided and to obtain a credit report on the applicant(s).
Terms*

By checking the box, you agree to the above terms.
Screening Fee
The amount charged is itimized below. Actual cost of credit report, unlawful detainer (eviction) search, and/or other screening reports:$8

Cost to obtain, process and verify screening information: $17
Total fees charged (may not exceed $30.00 per applicant):$25

A representative from Poseidon Property Group will contact you once your application is received. Thank you.
Should be Empty:

Rental Application

Resident History

Vehicle Information

Screening Fee