Rental Application Form for KillerRents.com

The fields with the red bars at the end are required.

There is also a required signature at the bottom of the page.

When are you wanting to move (move-in date)?

Property Information

Address of property

Your Information

First Name(required)
Last Name(required)
Your Email(email required)
Cell Phone Number
Daytime Phone Number
Marital Status

Your Current Address

Street Address(required)
City(required)
State(required)
ZIP/Postal Code(required)
How long have you lived at this address?
Landlord's name
Landlord's phone number
Rent amount $

Previous Address

Street Address
City
State
Landlord's Name
Landlord's Phone Number
How long did you live here?
Rent amount $

Employer Information

Employer
Employer Phone Number
Employer Address
Name of Supervisor
Wages/Salary $
Length of employment

Co-Applicant Information

First Name
Last Name
Your Email(email required)
Cell Phone Number
Daytime Phone Number
Marital Status

Co-Applicant Address

Street Address
City
State
ZIP Code
How long has co-applicant lived at this address?
Landlord's name
Landlord's phone number
Rent amount $

Co-Applicant Employer Information

Employer
Employer Phone Number
Employer Address
Name of Supervisor
Wages/Salary $
Length of employment

Other People Occupying the Property

# of Adults
# of Children
Names and Ages
Are any of the occupants smokers?
Yes No

Background

Have you or any occupant ever been charged with or convicted of a felony or any crime involving theft, violence, fraud, illegal drugs, or a sexual offense of any kind whatsoever?
Yes or No
Yes No
If yes, please explain
Have you had a Bankruptcy?
Yes No
If yes, which of the following?
Have you ever been evicted?
Yes No

Pets

Number of Pets
If you have pets, list all information (Breed, size, weight, age, etc.)

Emergency Contact

Name (nearest relative not living with you)
Address
Telephone
Relationship

Other

Why are you leaving present address?
Desired length of occupancy
Verification: I represent that all the information in this rental application is true and accurate to the best of my knowledge, and I acknowledge The Management will rely on this information in considering this application. Furthermore, in the event that The Management determines that any of the foregoing information is false, I waive any right that I may have under applicable law to notice or establishment of grounds for eviction and grant The Management the unconditional right to cancel my lease and immediately cause my eviction without prior notice or establishment of grounds for eviction.
Certification: For the purpose of allowing owner or owners agent to evaluate my application and determine my suitability as a resident, I hereby certify that neither I nor any potential occupant of my residence have ever been charged with or convicted of a felony or any crime involving theft, violence, fraud, illegal, drugs, or a sexual offense of any kind whatsoever.
Applicant Signature (Sign and date)(required)
Co-applicant Signature (Sign and date)
It is against the law to discriminate against prospective tenants on the basis of race, religion, national origin, age, familial status, or disability. All information on this application will be kept confidential and used only in relation to this application.
By signing below I/We hereby state that the above information is true and complete to the best of my knowledge and hereby authorize to release information in regards to wages, credit, employment, previous rental history and criminal background.
Applicant Signature (Sign and date)
Co-applicant Signature (Sign and date)

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