Apartments for Rent:

Tenant References

Name of Primary Applicant:______________________________________

Date of Birth ___/___/___ Social Security Number_______/_______/_______

Current address:

Street_______________________ Current phone # (H)____________(W) ___________

City_____________________ State ______ Zip _________

Number in family: Adults _______ names ________________, ______________,

Children _________ names __________________, __________________, _________________

Landlord References:

Present landlord's name ____________________________

phone # (email) ______________________

Recent landlord name(s) _____________________________

phone # (email) ______________________

Work references:

Place of Employment _______________________ Job Title___________________

Address: Street ___________________ City______________ State_____ Zip ____

Work phone #______________________ Supervisor's name_______________________

Additional reference: ______________________ phone # (email)____________

Do you have a pet(s)? (We require an additional deposit of $150 for pets. We do not accept pit bulls or similar breeds. Neutered pets only, please)

How many Dog __ Cat__ Other________

Dog breed_________ Age_______

Has your dog received any formal obedience training?

Is your pet neutered (or will he/she be when old enough?) _______

Pet reference name: __________________ (prefer landlord)

phone # (email) __________________

Why are you leaving your current rental/home address? _________________________________________________________________________

When do you need to move in by? _____________________________

Full payment of the security deposit as well as the pet deposit, if any, is required upon signing lease. Sorry, no exceptions. First month's rent is due when you move into the apartment. Rent is prorated for partial month occupancy. Rent due on the first of every month, late fees of a dollar a day apply after the 3rd of the month. By signing this document, I authorize Ann Leonard, landlord, to check my references, including a one time only credit report, if necessary. I understand the results of this search are strictly confidential and will not be shared.

Signed _________________________________ Date_____________________