Eureka Springs/Holiday Island Rentals
Homes & Investments Properties for Sale
RealtorJoan@gmail.com
RENTAL RESEARCH SERVICES, INC.
11300 Minnetonka Mills Road, Minnetonka, Minnesota 55305-5151
Sample of APPLICATION FOR APARTMENT OCCUPANCY
APPLICATION PROCESSING FEE $
THIS FEE IS NON-REFUNDABLE SHOULD THIS APPLICATION FOR RENTAL BE ACCEPTED OR NOT.
INSERT “N/A” FOR NON-APPLICABLE ITEMS. ALL APPLICANTS PLEASE COMPLETE SEPARATE APPLICATIONS.
APPLICANT (PLEASE PRINT CLEARLY)
Social Security #
Driver’s License #
Date of Birth
Home Phone #
Applicant (Complete Legal Name) -
Present Address APT # City State ZIP____________________________________________________________________
Number of Dependents______________________________________________________________________________
Present Landlord Or Caretaker Name____________________________________________________________________
Rent Paid___________________ Phone # of Present Landlord____________________________________
Dates of Occupancy____________________________________
Previous Address APT # City State ZIP______________________________________________________________________
Dates of Occupancy ____________________________ Rent Paid ________________________
Previous Landlord Or Caretaker Name
Rent Paid ________________________ Phone # of Previous Landlord ____________________________________
Dates of Occupancy ____________________________________________
SOURCE OF INCOME (EMPLOYMENT IF EMPLOYED)
Current Employer or Income Source ________________________________________________________________________
Phone # ___________________________________
Dates of Employment ______________________________________________________
Address City State ZIP
Salary __________________________ Position _______________________ Supervisor’s Name _______________________
Previous Employer or Income Source
Phone #
Dates of Employment
Address City State ZIP
Reason for Leaving
ADDITIONAL SOURCES OF INCOME (i.e. PART TIME JOB, ASSISTANCE, DISABILITY)
Other Income Source Name
Address City State ZIP
Phone #_____________________________
Amount ________________________________ ( ) -
BANK ACCOUNT (INDICATE BRANCH) CHECK SERVICES USED
Name of Bank Phone # Checking Acct #
Savings Acct #
Address City State ZIP
Loan Acct #
AUTO(S)
Make ___________________ Year __________________ License Plate # _______________________
Model & Color _______________________________
Monthly Auto Payments $__________________________ Paid to Whom (Even if Paid in Full)
Make _____________________ Year _____________ License Plate # ________________
Model & Color __________________________________
Monthly Auto Payments $ __________________ Paid to Whom (Even if Paid in Full)
PETS (Circle) No Yes Kind/Weight/Breed:
REFERENCES
Name of Father and/or Mother (Applicant)
Address City State ZIP Phone
Personal References (No Relatives Please)
________________________________________________________________________________________________________
Name Address City State ZIP Phone
In Case of Emergency Please Contact
______________________________________________________________________________________________________
Address City State ZIP Phone
CREDIT REFERENCES (BE SPECIFIC) List All Occupants (Names) Relationship Date of Birth
Account Name Address City State ZIP Account # Account Name Address City State ZIP Account # Application processing by Rental Research Services, Inc., 11300 Minnetonka Mills Road, Minnetonka, Minnesota 55305, (800) 328 0333. The foregoing information is supplied to the management to induce them to rent to me and is true and correct in all respects. I authorize whatever credit investigation the management considers appropriate. This investigation may include the exchange of information and a report from a credit reporting agency. I authorize the release of income and employment history from federal or state records including State Employment Security Agency records. This release is valid for this transaction only and continues in effect for 1 year, unless limited by state law, in which case the authorization continues in effect for the maximum period, not to exceed one year, or as allowed by law.
X__________________________________________________________________________
Signature Applicant Date
Application Design, Printing, and Screening by RENTAL RESEARCH SERVICES, INC 2005 All Rights Reserved
