CONTACT
Apartment Application
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Must mail $10 application fee with application to Lees Rental and Commercial Development, 1810 East Third Avenue, Hibbing, Mn, 55746
INFORMATION
RESIDENTIAL RENTAL APPLICATION
A Residential Rental Application allows a landlord to obtain information from prospective tenants interested in renting a residential property. Basic information, including prior rental history, employment and credit related information is requested through this application from the potential tenant. The Application allows the prospective tenant to consent to a credit and background check by the Landlord. The prospective Tenant also verifies that the information provided is true and correct.
The information gathered through this application will be useful for the Landlord in making a decision as to whether to rent the premises to the prospective tenant or not.
Landlords should not discriminate against any Applicant on any illegal or unlawful basis, including race, color, religion, sex, national origin, age, disability, family status or any other basis prohibited by local or state laws. Such discrimination as the sole basis of refusal to rent is illegal throughout the United States.
Please note that this information is not intended as and is not a substitute for legal advice.
RESIDENTIAL RENTAL APPLICATION
Landlord:_____________________________________________________________________
Address of Rental Property:_______________________________________________________
Desired Date of Occupancy:______________________________________________________
APPLICANT INFORMATION
Name:____________________________________________Date of Birth:________________
Social Security No.:______________________Drivers License No.:______________________
RENTAL HISTORY
Present Address________________________________________________________________
How long at present address____________________Home Phone No_____________________
Current Rent Payment_________ Reason for Moving_________________________________
Landlord's Name_____________________________Phone No__________________________
SPOUSE INFORMATION
Name of Spouse_____________________________________Date of Birth________________
Social Security No________________________Drivers License No.______________________
VEHICLES
Vehicle Model________________Year________ Vehicle Model______________Year______
License No_______________________ License No__________________________
 
PAGE 2 - RESIDENTIAL RENTAL APPLICATION
PETS Yes________ No_________
Name_______________________ Name___________________________________
Type/Breed__________________ Type/Breed______________________________
Size________________________ Size____________________________________
MISCELLANEOUS
Smoker Yes__________ No_________
Have you ever been evicted from any rental premises? Yes______ No______
If yes, please explain___________________________________________________________
Have you ever willfully and intentionally refused to pay rent when due? Yes____ No_____
If yes, please explain____________________________________________________________
Have you ever been convicted of a FELONY? Yes_______ No_______
If yes, please explain____________________________________________________________
CURRENT EMPLOYER
Employer_________________________________________Business Phone_______________
Position___________________________________How long___________________________
Supervisor_________________________________Annual income_______________________
Other income sources: Gov't assistance $___________Child support/Alimony $_____________
NEAREST RELATIVE NOT LIVING WITH YOU
Name________________________________________________________________________
Address______________________________________________________________________
Relationship_______________________________Home Phone No______________________
NAME OF OTHER TENANTS , INCLUDING CHILDREN AND ANYONE WHO WILL LIVE WITH YOU, EVEN ON A TEMPORARY BASIS
No. of occupants_______ Adults______ Children________
Name____________________________ Adult____ Child's Age______
Present Address_________________________ Home Phone No__________________
How long at present address_______________Relation ship______________________
Occupation_____________________________School___________________________
Name_____________________________ Adult_____ Child's Age______
Present Address__________________________ Home Phone No__________________
How long at present address_______________Relation ship_______________________
Occupation______________________________School___________________________
If need more room use back of this sheet over__________
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IF A SECOND ADULT , (NOT A SPOUSE),WILL BE RENTING THE PREMISES, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM
Landlord does not discriminate against any applicant on the basis of an illegal purpose including, race , color, religion, sex, national origin, age, disability or family status. Such discrimination as the sole basis of refusal to rent is illegal throughout the United States. Local or State laws may provide additional protected classes from discrimination. You can call the U.S. Department of Housing and Urban Development (HUD) at 1-800-424-8590 to ask questions about discrimination.
I represent that the information provided in this Application is true and correct to the best of my knowledge.
I understand this Application is not a rental agreement and that this Application does not create any obligation on the Landlord.
I understand that the information provided might be used by the Landlord to determine whether to accept this Application. I authorize the Landlord to verify all the information given in this application including employment information.
I also authorize the Landlord to perform a credit check and a criminal history check. I consent to the release of information relating to my credit and the information provided in this application.
 
 
 
 
 
 
___________________________________________ ________________
Applicant's Signature Date
____________________________________________ ________________
Spouse/Co-Applicant Signature Date
Application