Rental Application
1310 29th Ave #2 Owner: Jenny Barrett – Phone: 907-978-8397 Personal Data Resident #1 Last Name
First Name
M.I.
Birth Date
Driver’s License #
Resident #2 Last Name
First Name
M.I
Birth Date
Driver’s License #
Rental/Residence History Current Residence
Previous Residence #1
Previous Residence #2
From/To
From/To
From/To
Current Employment
Previous Employment
Prior Employment
From/To
From/To
From/To
Current Employment
Previous Employment
Prior Employment
From/To
From/To
From/To
Make/Model
Color
Year
License Plate
Make/Model
Color
Year
License Plate
Street Address City, State, Zip Owner/ Manager & Phone Number Reason for leaving Did you give notice? Were you asked to move? Is/Was rent paid in full? Dates of Residency
Employment History for Resident #1 Employed by Address Employer’s Phone Occupation Name of Supervisor Dates of Employment
Employment History for Resident #2 Employed by Address Employer’s Phone Occupation Name of Supervisor Dates of Employment
Vehicles
References & Emergency Contacts Name
City, State & Zip
Phone Number
Reference #1 Reference #2 Emergency Contact #1
General Information Have you ever been served a late rent notice? Do any of the people who would be living in the apartment smoke?
How long do you think you would be renting? When would you be able to move in?
Have you ever filed for bankruptcy? If so, when? Have you ever been convicted of a felony? Have you ever been served an eviction notice? If so, when? Have you ever been served a late rent notice? Have you had any reoccurring problems with you current apartment of landlord? If yes, explain: Why are you moving from your current address?
I (we) represent that the preceding information is true and accurate. I (we) understand this information will be used by the landlord to evaluate my (our) rental application and that no property will be leased or rented unless this form is completed. ______________________________ ___________________________________ Applicant Signature #1 Applicant Signature #2