Indiana Rental Application

FULL NAME: _________________________________________________________________________________
ADDRESS: _______________________________________________________ PHONE: ____________________
ZIP CODE: ________________________________ BIRTHDATE: ______________________________________
HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE: ______________________________________
EMP LOYER'S NAME &. PH ONE :
_____________________________________________________________________________________________
GROSS INCOME PER MO.: _____________HOW MANY MONTHS / YEARS AT CURRENT JOB: _________
SOCIAL SECURIT Y NO. : ___________________________
PI· I ONE NO. AND NAME OF NEAREST RELATI VE TO NOTIFY IN CASE O F EM ERGENCY:
_____________________________________________________________________________________________
DATE: ____________ .SIGNATURE: _____________________________________________________________
FULL NAME: _________________________________________________________________________________
ADDRESS: _______________________________________________________ PHONE: ____________________
ZIP CODE: ________________________________ BIRTHDATE: ______________________________________
HOW MANY MONTH’S / YEARS AT CURRENT RESIDENCE: ______________________________________
EMP LOYER'S NAME &. P HONE:
_____________________________________________________________________________________________
GROSS INCOME PE R MO.: ______ ___ ___ _HOW MANY MONTHS / YEARS AT CURRENT JOB: _________
SOCIAL SECURITY NO.: ___________________________
PI· I ONE NO. AND NAME OF NEAREST RELATI VE TO NOTIFY IN CASE O F EM ERGENCY:
_____________________________________________________________________________________________
DATE: ____________ .SIGNATURE: _____________________________________________________________
UPON SIGNI NG THE APPLICATION APPLICANT GIVES APPROVAL )257+(/$1'/25' TO RUN A
CREDIT CHECK. I F APP LI CAN T LEASES FROM 7+(/$1'/25'7+( APPLICANT GIVES
APPROV AL T O RELEASE RENTAL HISTORY INFORMATION TO PER SONS VERIFYING SUCH
INFORMATION.. ADDITIONALLY, AP PLICANT GIVES 7+(/$1'/25' PERMISSION TO
OBTAIN AND/OR REQUES T ANY INFORMATION NECESS ARY TO VERIFY THE ACCURACY GIVEN AS
PART OF THE APPLICATION.
NUMBER OF PE OPLE TO LI VE I N UNIT, AND NAMES OF ONES NOT LISTED ABOVE:________________
_____________________________________________________________________________________________
YEAR AND MODE L OF VEHICLE(S): ____________________________________________________________
LICENSE PLATE NUMBER: ____________________________________________________________________
NO VEHIC LES WHICH CREAT E A NUISANCE EITHER VISUAL OR AUDIBLE. N O MORE THAN 3
VEHICLES PER UNIT.
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