RENTAL APPLICATION
Thank you for applying to rent with us.  Please provide us with all the information requested below.
Incomplete information will only delay the processing of your Rental Application. PLEASE PRINT CLEARLY.
HOME PHONE #				WORK PHONE #			CELL #
OCCUPANTS
NAME							DATE OF BIRTH
	First		Middle		Last	Jr., Sr., I, II		MO	DAY	YEAR
SOC SEC #					D/L #
						Number				State
SPOUSE							DATE OF BIRTH
	First		Middle		Last	Jr., Sr., I, II		MO	DAY	YEAR
SOC SEC #					D/L #
						Number				State
	FULL NAME (All other occupants)					AGE	RELATIONSHIP
RENTAL HISTORY
Please list your rental history for no less than one year.
CURRENT ADDRESS
		Number	Street		Apt. #	City	State	Zip
OWNER/MGR
	Name			Address			Phone #
MORTGAGE CO (IF OWNED)
		Name			Address		Loan #
FROM______________TO______________				AMOUNT OF RENT PAID
REASON FOR LEAVING
PREVIOUS ADDRESS
		Number	Street		Apt. #	City	State	Zip
OWNER/MGR
	Name			Address			Phone #
MORTGAGE CO (IF OWNED)
		Name			Address		Loan #
FROM______________TO______________				AMOUNT OF RENT PAID
REASON FOR LEAVING
PRIOR ADDRESS
		Number	Street		Apt. #	City	State	Zip
OWNER/MGR
	Name			Address			Phone #
MORTGAGE CO (IF OWNED)
		Name			Address		Loan #
FROM______________TO______________				AMOUNT OF RENT PAID
REASON FOR LEAVING
EMPLOYMENT
CURRENT EMPLOYER					ADDRESS
						Street		City	St	Zip
GROSS                MONTHLY SALARY				POSITION			HOW LONG
								Months/Years
SUPERVISOR
	Name			Position			Area code & phone number
SPOUSE'S EMPLOYER					ADDRESS
						Street		City	St	Zip
GROSS                MONTHLY SALARY				POSITION			HOW LONG
								Months/Years
SUPERVISOR
	Name			Position			Area code & phone number
BANK INFORMATION
BANK NAME
	Name			Address			Phone #
CHECKING ACCT. #					SAVINGS ACCT. #
CREDIT UNION
	Name			Address			Phone #
CHECKING ACCT. #					SAVINGS ACCT. #
REFERENCES
FAMILY
	Name			Address			City	St.	Zip
	Relationship				Phone #
FAMILY
	Name			Address			City	St.	Zip
	Relationship				Phone #
EMERGENCY
	Name			Relationship			Phone #
ADDITIONAL INFO
PETS
	Number		Description
WATER-FILLED FURNITURE
		Description
AUTOMOBILES/MOTORCYCLES/BOATS TO BE PARKED ON PREMISES
Make		Model		Year		License Number
Make		Model		Year		License Number
Have you ever been delinquent in payment of your rent or other financial obligation? If yes, please explain.
Have you ever been a defendant in an unlawful detainer (eviction) lawsuit or defaulted (failed to perform) any
obligation of a rental agreement or lease?  If yes, please explain.
The information on this application is true and correct to the best of my knowledge. I hereby authorize Lincoln Coast Enterprises, Inc. and/or Steve
Smith Real Estate or its agents to verify the above information and obtain either a consumer or investigative credit report. I understand that the
$25.00 fee for verifying this rental application is not a deposit or rent, and will not be applied to future rent, even if this application to rent is declined.
All applicants must sign below.
APPLICANT					APPLICANT