APPLICATION 

TO RENT OR LEASE

WE DO NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, RELIGION OR NATIONAL ORIGIN. FILL IN THE BLANKS. ALL INFORMATION HEREIN IS 
CONFIDENTIAL.

PROPERTY ADDRESS: ZIP DATE:

TENANT A:
Name: Phone #'s: hm wk cell

Current / Mailing Address: ZIP

SS#: D.O.B.              /            / Driver's Lic.# State:

TENANT B:
Name: Phone #'s: hm wk cell

Current / Mailing Address: ZIP

SS#: D.O.B.              /            / Driver's Lic.# State:

IN THE EVENT OF AN EMERGENCY NOTIFY:

TENANT A:
Name: Relationship:

Address: Phone #:

TENANT B:
Name: Relationship:

Address: Phone #:

NEAREST LIVING RELATIVE:

TENANT A:
Name: Relationship:

Address: Phone #:

TENANT B:
Name: Relationship:

Address: Phone #:

NUMBER OF PERSONS TO OCCUPY THIS UNIT:

NUMBER OF VEHICLES:

Make: Lic.# Make: Lic.#

PETS: (If allowed) Yes or No: If yes, describe:

(If pets acceptable to owner, a pet deposit in addition to security deposits will be assessed and are due and payable prior to occupancy.)

CURRENT AND LAST PLACE OF RESIDENCE:

Address Owner/Manager Contact Phone # Dates: From/To

TENANT A:

TENANT B:

Why are you vacating your present place of residence?

TENANT A:

TENANT B:
PRESENT AND LAST PLACE OF EMPLOYMENT:

TENANT A:
Present Employer: Phone: Supervisor:
From: To: Gross Monthly Income:

Past Employer: Phone: Supervisor:

From: To:

OTHER INCOME:

Applicant(s) represent(s) that statements made above are true, correct and complete, and hereby authorizes verification of references given. 
Permission is hereby given for a credit report.
Applicant(s) acknowledges that facts of rental, dates of move in/move out, rent payment history, rent reporting and premises condition on 
termination may be reported to Credit Bureau of Alaska or other credit reporting or collection agencies.

Dated:            /            / A:

Dated:            /            / B:

Verification of Residence:
Verification of Employment:
Credit Report: