(In the event of
co-tenants, other than spouses, please
print out the application
and use a separate sheet for each tenant.)
* Required Field
Primary Tenant Information:
Name *
DOB *
S.S. #
Drivers License # *
Co-Tenant Information:
Co-Tenant
DOB
S.S. #
Drivers License #
Primary Tenant Information:
Present Address *
City / State / Zip *
Res. Phone *
Bus. Phone *
Occupants
Animals?
Car Make
Model
Car Color
Lic. #
Occupation:
Present Occupation *
Past Occupation
Co-Tenant's Occupation
Occupation *
Employer
Self-employed, d.b.a.
Business Address
Type of Business
Position Held
Name & Title of
Superior
Phone #
How Long?
Monthly Gross Income
Landlord Information:
Present
Previous
Name *
Phone Number
Monthly Rent
Date of Occupancy
References:
Bank Reference
Address
Phone
Credit Reference
Account #
Address
Highest Amount
Owed
Purpose of
Credit
Account Open or
Date Closed
Personal
Reference *
Address
Phone
Length of
Acquaintance
Occupation
Personal
Reference 2
Address
Phone
Length of
Acquaintance
Occupation
Nearest Relative *
Address
Phone
City
Relationship
Nearest Relative
2
Address
Phone
City
Relationship
Have you ever
filed a petition of bankruptcy? *
Have you ever
been evicted from any tenancy or had an eviction notice
served on you? *
Have you ever
willfully and intentionally refused to pay any rent when
due? *
I DECLARE THAT
THE FOREGOING IS TRUE AND CORRECT, AUTHORIZED IT'S
VERIFICATION AND THE OBTAINING OF A CREDIT REPORT. I agree
that the landlord may terminate any agreement entered into a
reliance on any misstatement made above.
By submitting this form in any method, you are authorizing the
credit check and any other necessary checks needed to verify the
information given.
Diaz and Partners, LLP |
Email |
208-886-1916 | P.O.
Box 2622 | Boise, ID 83701