Rental Application



Welcome to Dennis Waters Rental Properties, Inc. The application you are about to complete is for office use only and the information provided
hereon will be held in complete confidentiality. Please fill it out entirely.

Name *
First Last
Date of Birth *
MM / DD / YYYY
Home Phone *
### ### ####
Office or Mobile Phone
### ### ####
Rank and Unit (if applicable)
Social Security Number *
Driver’s License (state and license no.)

Type the state abbreviation first, followed by the license digits.
Email *
Present Address *
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code Country
Present Landlord *
First Last
Phone Number *
### ### ####
Duration of stay at present address *

Type number of years/months.
Rent Rate Per Month *
Reason for Moving *

Names of the people who will be living with you, and your relationship to them:

Name
First Last
Relationship
Age
Name
First Last
Relationship
Age
Name
First Last
Relationship
Age
Name
First Last
Relationship
Age
Name
First Last
Relationship
Age

Employment Background

Present Employer
Occupation
How long employed
1st Sgt. Supervisor
First Last
Current Gross Income (before deductions)
Spouse Name
First Last
S.S.N.
Spouse Employer
Phone Number
### ### ####
Current Gross Income (before deductions)

Vehicle(s)

Make
Model
Year
Make
Model
Year
Personal Reference
First Last
Relation of above mentioned
Phone Number
### ### ####
Emergency Contact
First Last
Relation of above mentioned
Phone Number
### ### ####

Pets

Do you have pets?

Rent History

Have you ever been refused credit, or has your credit been terminated by anyone in the past three
years? If yes, Why?
*

Type n/a if not applicable.
Have you ever received a request to vacate a premise? If yes, Why? *

Type n/a if not applicable.
Have you ever been evicted from a premise? If yes, Why? *

Type n/a if not applicable.

Additional Reference

Next of kin not living with you and their relationship to you.
Name
First Last
Relation
Address
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code Country
Phone Number
### ### ####
I declare that the above information is true and correct to the best of my knowledge, and hereby authorize verifications of references given and for credit report to be run. I understand that this application is subject to an approval and acceptance by the owner.

This instrument is not a lease, nor an agreement. I authorize the investigation of all references for information purposes concerning my credibility and personal conduct.

I understand and agree that a credit report may be used to determine my eligibility.

Tenant *
First Last
Date *
MM / DD / YYYY

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