COLLEGETOWN®
Rental Application
Click
here to download a text version of this application
Name
of Applicant:
Home Phone Number:
Work Phone Number:
E-Mail Address: (optional)
Social Security Number:
Number of Dependents:
Pets:
Current Address:
Length of Time at this Address:
Reason for Leaving:
Owner or Agents Phone Number:
Previous Address:
Length of Time at that Address:
Reason for Leaving:
Owner or Agents Phone Number:
Employer w/ Address:
Annual Salary:
How Long?:
Position:
Supervisor's Name and Phone Number:
Other Sources of Income:
Personal References:
Automobile:
Make and Model: Year:
Plates: Color:
State of Registry:
This information recorded above, to my knowledge is true and
correct. I hereby
give permission to:_______________ to contact persons named
above
and to verify information given. It is understood that the information
on this application
will be maintained in confidence. The application will be processed
only if it has
been completed.
Signature of Applicant:
Signature of Landlord
or Agent:
Date: