North Dakota Tenant Rental Application
NORTH
DAKOTA
APARTMENT
ASSOCIATION
Rental
Application
Pl
ease
print
when
comp
l
eting
th
is a
pp
li
c a
tion
.
(5)
EOUALHOUSI'-IG
OPPO
RTUNITY
The
undersi
gned
he
r
eby
mak
es
app
li
cations
to
rent
property
fr
om
___
____
_
____
_ _
__
___
__
Lo
cated
in
-
---
-----
------·North
Dako
ta.
LANDLORD/MANAGER
1.
I will
be
requesting a credit report.
~
D Yes
D No Fee: each applicant
2.
Do you currently have a freeze on your credit? D Yes D No
*If
yes. see below
3.
I will
be
requesting a criminal background check. D
Yes
D
No
Fee:
each applicant
4.
I will be requesting a renters background check. D Yes
D No
Fee: each
applicant
5. I will be requesting
an
income verification . D Yes D No Fee: each appli
ca
nt
TOTAL
FEES
: $
*If you
h~·Je
a credit freeze, you must first
no
tify Experian at 1-888-397-3742 to temporarily remove the freeze PRIOR
to
processing the application.
APPLICANT:
As part of the application process, I authorize the prospective landlord/manager
to
request the reports a
nd
check as identified
and understand that t
he
above fees are non-refundable and
<;lo
not obligate the landlord to deliver possession or keys to the
premises.
I understand t
he
criter
ia
necessary to rent fr
om
the above landlord and have been provided with a copy
of
the terms.
No contract
will be established between the parties
un
t
il
a lease agreement has been signed by all
pa
rties.
Applic
a
nt's
signature/date:
Co-Applicant
:
Aeelicant:
Co-
Aeelicant
1.
DYes
DNo
DYes
D No
1. Have you ever
fi
l
ed
bankruptcy?
2.DYes
DNo
DYes
D No 2.
Have you ever been convicted of
or
plead guilty
or
no
contest to a felony?
3.DYes
DNo
DYes
D No 3.
In
the last ten years, have you been arrested, convicted of
or
plead guilty or no
contest to a charge of possessing, dea ling
or
ma
nufacturing illegal drugs?
4.DYes
DNo
DYes
DN
o 4. Have you ever been e
vi
cted, whether or not a court proceeding was necessary to
evict you?
5.DYes
DNo
DYes
DNo
5.
Are you currently registered, or have you ever been required to register
as
a sex
offender?
6.
DYes
DNo
DYes
DNo
6. Do you have or plan on allowing pets in the apartment unit?
If
any questions were answered Yes, please explain:
______
_ _
___
____________
__
_
(
Property
Manag
e
ment
Company's
Name)
is
committed
to th
e letter
and
sp
i
rit
of the Fair
Ho
usi
ng
Act
,
which,
among
other
things
,
prohibits
discri
mination
against
per
s
ons
with
disabilities. In
accordance
with
our
statutory
responsi-
bi
li
ti
es
and
manag
eme
nt
p
ol
icies.
we
will
make
reasonable
accommodation
s
upon
writt
en re
quest,
in
our
ru
l
es,
policies,
pract
i
ce
s,
or
servi
ces,
when
such
ac
commo
dat
io
ns
may
be
ne
ce
ssary
to
afford
persons
with
d
isab
il
itie
s
an
equ
al
opportunity
to
use
and
e
nj
oy
the
ir
housing
commu
-
ni
tie
s.
SECTION
A-
INFORMATION
REGARDING
APPLICANT
Full Name:
--
----
------::,-----
-------,.,-
.,...,---
--
Birthdate:
(Last) (First) (Middle)
Present Street Address:
----
-
---
- - -
---------
--
--------
-----
City: _
_____
_
__
State: _
__
Zip:
__
__
_ _ Telephone:
----
-------
-
Reason for Leaving: -
---
----
- - - Rent per month:$
_____
Years T
he
re:
__
___
____
_
Social Security Number:
------------
Drivers License Number: -
--
-
--------
Previous Street Address:
--
----
-
-------
--
--------
Years There:
-------
City:
--
-----,
-
----
State:
____
Zip:
____
__
_ Telephon
e:-
---
-
--
----
- -
Reason
fo
r Leaving:
--
---------
Rent
pe
r month:$
__
Landlord & Telep
hone:--
--
----
-
Present Employer
,_
:
_______________
Years There
,_
: _
______
Telephone
_,_:--------
Position
or
Title: Name
of
Supervisor: _
______
_________
_
Employer's Address: _
__
_
__
_ _
___
_______________
__
____
__
_
Previous Em
pl
oyer :
___________
_
_____________
Years There :
____
__
_
Previous Employer's Address: _
____
_
__
______
______
____
___
__
___
_
Present
Net Income/Month: $
____
__
_
Number of Hours worked:
_ _
___
./Week _
__
___
./ Month
Number of occupants that
wi
ll be occupying the unit:
________
____
______
_
NOTE: Alimony, child support, or separate maintenance income need not
be
revealed
if
you do not wi
sh
to have it considered
as a basis for paying this obligation.
Ot
he
r income: $ per . Sources of other income:
-:-;-
--::::--
-:-;--:-:-:-
:---:---
-
---:-:--
Is any income listed in this section
li
kely to be reduced in the next two years? D Yes D No If Yes, please expl
ai
n:
Name
of
nearest relative not living wi
th
you: _
__
______
_
_____
Telep
ho
n
e:
_
__
_ _
_____
_
Relationship:
__
_ _
__
____
__
_
.Ad
dress:
______
___
_____
_
______
_ _
NOAA R ental
Ap
p
li
cation Revised 1112007
Page 1/2
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