Minnesota Rental Application

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07-2013
Minnesota Residential Lease Application
Property Address: Application Date: Move in Date Requested_____________
Application Processing Fee $___________How would you like this fee returned? If applicable _______Mail _______Destroying it _______Holding it for retrieval (1 day)
This fee is non-refundable should this application for rental be accepted or not.
INSERT “N/A” FOR NON-APPLICABLE ITEMS. ALL APPLICANTS MUST COMPLETE SEPARATE APPLICATIONS.
HOW DID YOU HEAR ABOUT US? __________________________________________________________________________________________________________
APPLICANT PERSONAL DATA (Please Print Clearly)
Complete Legal Name
Date of Birth
Driver’s License #
Social Security #
# Dependents
Phone Email
RENTAL HISTORY (account for all months of the past three years use additional page if necessary)
From
To
Present
Complete Address (Including ZIP)
Rent Paid
$
Landlord Name
Phone #
Why Moving?
From
To
Prior Complete Address (Including ZIP)
Rent Paid
$
Landlord Name
Phone #
Why Moved?
From
To
Prior Complete Address (Including ZIP) Rent Paid
$
Landlord Name
Phone #
Why Moved?
EMPLOYMENT
From
To
Present
Employer Name & Address
Monthly Income
$
Position
HR Fax #
Phone #
Supervisor Name
From
To
Prior Employer Name & Address
Monthly Income
$
Position
HR Fax #
Phone #
Supervisor Name
OTHER HOUSEHOLD INCOME (Disability, Assistance, Child Support, Section 8, Etc. You must list the name, phone number, AND fax number for each contact)
Source of Income
Complete Address (Including ZIP) Monthly Income
$
Contact Name
Fax #
Phone # Comments
Source of Income
Complete Address (Including ZIP) Monthly Income
$
Contact Name
Fax #
Phone # Comments
Source of Income
Complete Address (Including ZIP) Monthly Income
$
Contact Name
Fax #
Phone # Comments
Section 8
Complete Address (Including ZIP) Ve nd o r e d Amount
$
Worker Name
Fax #
Phone # Comments
TOTAL MONTHLY HOUSEHOLD INCOME $
SOURCE OF SECURITY DEPOSIT & FIRST MONTH RENT
Source of Security Deposit (bank account, agency, self)
Account # (checking / savings) Funds Now
$
Available
Contact Name
Phone #
Comments
Source of First Month Rent (bank account, agency, self)
Account # (checking / savings) Funds Now
$
Available
Contact Name
Phone #
Comments
AUTOS
Year, Make, Model
Color Payment
$
Paid to Whom
Phone #
Comments
Year, Make, Model
Color Payment
$
Paid to Whom
Phone #
Comments
PERSONAL REFERENCES
Name of Father and/or Mother
Complete Address (Including ZIP) Phone #
Comments
Personal Reference (no relatives)
Complete Address (Including ZIP) Phone #
Comments
In Case of Emergency Contact
Complete Address (Including ZIP) Phone #
Comments
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Minnesota Rental Application PDF

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