U.S.

DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT

WASHINGTON, DC 20410-8000

RENTAL APPLICATION FORM

TODAY'S DATE: ADDRESS APPLIED FOR:

APPLICANT'S INFORMATION:
LAST NAME: FIRST:
DATE OF BIRTH:
CREDIT SCORE:
PHONE:
PREVIOUS ADDRESS:

STREET CITY STATE ZIP

Landlord or Mortgage Co.: Phone (required): Rent Amount:
Reason for Leaving:
Single or Married:
Proposed Occupants/Ages: 1) 2). 3). 4).
Pet: Vehicle Type: Smoker: Yes/No
Earliest Possible Date of Deposit Payment:
How much do you have at hand now to secure the property:
Proposed Move in Date:

EMPLOYMENT STATUS

Employment post: