Rental Application

RENTAL APPLICATION

Complete the form below to apply for a Dripm rental property. All sections must be completed. An individual application is required for each adult occupant.

Contact & Property

Email Address

Present Home Phone

Property Address

Applicant Information

Last Name

First Name

M.I.

Date of Birth

Age

Sex

Present Address

Street Address

City

State

Zip

Apartment Name

Apt No.

Move-in Date of Present Residence

Monthly Rent - Now

Property Owner / Manager Name

Phone

Previous Address

Street Address

City

State

Zip

Years in State

Apartment Name

Apt No.

Move-in Date

Monthly Rent

Property Owner / Manager Name

Phone

Present Employment

Present Employer

Address

City/State

Zip

Kind of Work

How Long

Work Phone

Monthly Gross Income

Supervisor's Name

Phone

Previous Employment

Immediately before above employer

Previous Employer

Address

City/State

Zip

Kind of Work

How Long

Work Phone

Monthly Gross Income

Supervisor's Name

Phone

Persons Occupying Unit

List name, age, and relationship of all persons to be occupying the unit (including children, relatives, and other occupants).

Name	Age	Relationship

Vehicles

List all vehicles to be parked on the premises by applicant, spouse, or children (cars, trucks, recreational vehicles, boats, etc.).

Type of Vehicle	Year	License Number	State

Credit / Financial Information

Auto Payment

Monthly Payment

Visa or Master Card

Monthly Payment

Bank

Branch

Bank

Branch

Background Questions

Why are you leaving your present residence?

Have you ever been evicted?

Broken a rental agreement or lease contract?

Declared bankruptcy?

Been sued for nonpayment of rent or damages to rental property?

Been convicted of a felony?

Emergency Contact

In case of emergency, notify (other than co-resident)

Name

Work Phone

Home Phone

Street Address

City / State / Zip

Relationship

Nearest Relative

Nearest relative not living with you (other than above)

Name

Work Phone

Home Phone

Street Address

City / State / Zip

Relationship

Additional Information

Do you have any pets?

Type / Breed

Does any member of your household smoke/use tobacco?

Confirmation

The undersigned persons represent that all the above statements are true and hereby authorize verification of such information. False information given above shall entitle owner to (1) reject this application, (2) retain the deposit. A deposit in the amount specified will be applied on account of the security deposit or cleaning fee, or applied to first month's rent. If this application is approved and I fail to occupy said apartment the deposit will be forfeited to cover any expenses incurred by the landlord for rent loss and/or advertising and administrative expenses. If this application is not approved, the deposit designated as refundable will be refunded. I hereby give permission to verify the information on this application. A PRE-HOUSING report will be processed for this application, including a credit report.

Rental Application