Rental Application

Rental Application

Applicant Information

Property to Rent:	1557 Cotton Dr. 3 Creedmoor, NC 27522
Date Needed:
Last Name:
First Name:
Middle Name:
Social Security Number:
Date of Birth:
Home Phone
Cell Phone:
Email

Current Residence

Address:
City:
State:
Zip:
Landlord:
Rent:
Landlord Phone:
How Long There:
Reason for Leaving:

Previous Residence

Address:
City:
State:
Zip:
Landlord:
Rent:
Landlord Phone:
How Long There:

Employment

Position:
Employer:
Employer Address:
City:
State:
Zip:
Applicant's Work Phone:
How long there:
Supervisor's Name:
Supervisor's Phone:
Salary:	$ per
Employment Status:
Hours per Week:
Hourly Wage:
Other Income:

Spouse

Last Name:
First Name:
Middle Name:
Social Security Number:
Date of Birth:
Position:
Employer:
Employer Address:
City:
State:
Zip:
Spouse's Work Phone:
How long there:
Supervisor's Name:
Supervisor's Phone:
Salary:	$ per
Employment Status:
Hours per Week:
Hourly Wage:
Other Income:

Other Information

Roommate Names:
Names & Ages of Chilren:
Others who will be living with you:
Make, Model & Year of Car:
Driver's License # and State:

In Case of Emergency Call

Last Name:
First Name:
Relationship:
Address:
City:
State:
Zip:
Phone:

History

Have you rented from Real Estate Associates before:

If YES Address:
City:
State:
Zip:
Dates of Occupancy:
Have you ever been evicted or had your lease terminated by a Landlord:

If YES explain:
Have you ever been convicted of or pled guilty to FELONY or MISDEMEANER: (other than minor traffic violations)?

If YES explain:

Pets

Do you have any Pets?
Type:
Breed:
Weight:
Age:

How did you hear about this property?
If Other:

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