Address:

Palm Leaf Property Management

Rental Application

Applicant Information

First: Middle: Last:

DOB: SSN: DL/ID#:
Email: Phone:
Current Address:
City: State: ZIP Code:
Own or Rent?:
Mortgage Company (N/A if rent):
Rent Amount: Current Rent Up to Date?:
Current Landlord: Landlord's Phone:
Reason for Leaving:
Previous Address:
City: State: ZIP Code:
Own or Rent?:
Mortgage Company:
Rent Amount: Security Deposit Returned?
Previous Landlord: Landlord's Phone:
Reason:

Proposed Occupant(s)

Name: Relationship: Age:

Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:
Name: Relationship: Age:

Proposed Pet(s)

Name: Type/Breed: Age:

Name: Type/Breed: Age:
Name: Type/Breed: Age:

Vehicle(s)

Make/Model: Color: Plate #:

Make/Model: Color: Plate #:
Employment Information

Current Employer:
Address:
City: State: ZIP Code:
Email: Phone:
Position: Employment Length:
Hourly or Salary?: Weekly or Biweekly?: Annual Income:
Current Employer:
Address:
City: State: ZIP Code:
Email: Phone: <<What is your second employer's phone number?>>
Position: Employment Length:
Hourly or Salary?: Weekly or Biweekly?: Annual Income:
Former Employer:
Address:
City: State: ZIP Code:
Email: Phone:
Position: Employment Length:
Hourly or Salary?: Annual Income:
Other Income Description: Annual Income:

Emergency Information

Emergency Contact: Relationship:

Email: Phone:
Full Address:
Emergency Contact: Relationship
Email: Phone:
Full Address:

Applicant Questionnaire

Has Applicant Ever Been Evicted? How Long Ago?:

Has Applicant Ever Filed Bankruptcy?: How Long Ago?:
Has Applicant Ever Been Convicted of a Felony?: How Long Ago?:
Has Applicant Ever Broken a Lease?: How Long Ago?:
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, and any other sources
deemed necessary to investigate applicant. All information is true, accurate, and complete to the best of applicant's knowledge. Landlord
reserves the right to disqualify tenant if information is not represented. ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION
ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.

Signature of Applicant: Date:

I understand that check-marking constitutes a legal signature confirming that I acknowledge and agree to the
[ ]
above terms stated above.