Real Estate Room Rental Application Form

Thank you for your interest in renting a room through [Your Real Estate Company Name]. To ensure that we can provide you with the best possible service and maintain a safe and comfortable living environment for all our tenants, we require all prospective tenants to complete this Rental Application Form. Please fill out the form accurately and completely.

Applicant Information:

Field	Information
Full Name:
Date of Birth:
Phone Number:
Email Address:
Current Address:
City:
State:
Zip Code:

Room Rental Details:

Field	Information
Desired Move-in Date:
Preferred Lease Term:
Number of Occupants:
Pets:
Pet Details:

Employment Information:

Field	Information
Employer:
Position/Title:
Employer's Address:
City:
State:
Zip Code:
Employer's Phone Number:
Length of Employment:
Monthly Income:

Rental History:

Field	Information
Current Landlord/Property Manager:
Phone Number:
Reason for Moving:
Previous Address:
City:
State:
Zip Code:
Length of Residency:

Emergency Contact:

Field	Information
Full Name:
Relationship:
Phone Number:
Email Address:

Additional Information:

1. How did you hear about us?

                                                                                                                                                                                                                                                                                  

2. Do you smoke?

• Yes

• No

3. Have you ever been evicted?

• Yes

• No

4. Have you ever filed for bankruptcy?

• Yes

• No

5. Additional Comments/Questions:

                                                                                                                                                                                                                                                                                  

Agreement:

By signing below, I certify that all information provided in this application is true and accurate to the best of my knowledge. I authorize the landlord/property manager to verify the information provided.

Signature:

Date:                              

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