Spouse:______________________________

Full Name

_____________________________________ 

Address

_____________________________________

DOB                                Soc.Sec.#

_____________________________________

Drivers Lic. #

_____________________________________

Name of Spouses Employer

_____________________________________

Address of Employer

_____________________________________

Date started                       Monthly income

_____________________________________

Date Started                    Monthly income

_____________________________________Address of employment




_____________________________________

Driver's Lic. No.

_____________________________________

place of employment or income amt.

Lassiter Realty application:

_____________________________________

Prospective Tenant Name:


_____________________________________

Current Address:

______________birtdate:________________

                                          Soc. Sec. No.

_____________________________

phone no.

   

Lassiter Realty Rental Application

The above listed applicant listed above declares all statements are true made on this application. Applicant hereby authorizes Lassiter Realty to verify all information listed on this application to obtain credit reports & back ground cks. & other applicants. If applicant or spouse has given any false information Landlord is entitled to reject the application and retain all application fees for liquidated damages for Landlords time & expense in procuring background cks. & credit reports. Applicant shall give Lassiter Realty a NON-REFUNDABLE background & credit fee of $35.00 per adult anyone 18 or over.

LASSITER REALTY.

_____________________________________

Signature of applicant                Date


_____________________________________

Signature of applicant                Date

_____________________________________

In case of emergency contact

_____________________________________

Relationship                                   phone#


_____________________________________

List all occupants

_____________________________________

                        

_____________________________________

List all vehicles to be parked at premises


_____________________________________

Credit & Criminal history


List all credit obligations w/Min. payment


Have any of the listed above been convicted of a felony?______, been evicted_____________

broken a lease___________?



_____________________________________

Present Landlord or Mortgage Co.

_____________________________________

Landlords phone number

_____________________________________

Monthly rent or Mortgage payment  

_____________________________________

Date move in                    Date move out


____________________________________

Personal Reference: Name


____________________________________

Address                   phone number


_____________________________________

Personal Reference Name:

_____________________________________

address                   phone number