Residential Lease Application

Residential Lease Application Form from

When interviewing applicants for residency in your rental property, be sure to include all of the information needed to do a tenant screening at We offer a sample form for you to use as a residential lease application. It is important for you to have every adult who intends to live in your rental property fill out their own application form, even if the applicants are a married couple.

Here is a sample lease application form:


Equal Housing Opportunity

The person signing this document is making application to lease the following property: (put address of property here)

Anticipated move in date: (date lease to start here) at a monthly rent of ($ rental amount here) and security deposit of ($ deposit amount here).


Full Name:

Home Phone: (area code) (number)

Secondary or Business Phone:

Date of Birth:

Social Security Number:

Email Address:

Co-Applicant Name:

Dependents and Date of Birth of Each:

List All Pets by Type:


1: Current Address with City, State and Zip:

Month/Year Moved In:

Reasons for Leaving:

Monthly Rental Amount:

Owner/Agent Name and Phone:

2: Previous Address(s) with City, State and Zip:

Beginning and Ending Date of Residency:

Reasons for Leaving:

Monthly Rental Amount:

Owner/Agent Name and Phone:


Have you declared bankruptcy in the past 7 years?

Have you ever been evicted from a rental residence?

Have you had two or more late rental payments in the past year?

Have you ever willfully or intentionally refused to pay rent when due?


Your Status: (circle one) Full Time/ Part Time/ Student/ Unemployed


Dates employed:

Employed as:

Supervisor Name and Phone:

Salary: $(amount) per (circle one) Year Month Week

If employed for less than 12 months, please provide the name and phone of previous employer or school information here:

If you have other sources of income that you would like us to consider, please list income, source and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.

Amount: $(amount)


Contact Name and Phone:


1: Banking Accounts:

Name on account:

Type of Account:

Account Number:

2: Personal Reference or Emergency Contact

Name and Address:

Phone Number:


3: Drivers License Number and State:

Vehicle Information for any vehicle that will be regularly parked at the residence:



License Plate State:


Please provide any additional information that might help us evaluate this application:

Where can we reach you to discuss this application?

Day Phone Number:

Evening Phone Number:

I, the undersigned, hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

The above information, to the best of my knowledge, is true and correct.

Signature of Applicant and Date:


I authorize an investigation of my credit, tenant history, banking and employment, for the purpose of renting a house, apartment or condominium from the owner/manager/agent listed on this application:

Name: (please print)

Signature of Applicant:


You can use this form to create your own Residential Lease Application. Be sure to check with your state laws to see if keeping the deposit is legal in the event there is misrepresentation on the application (In some states it is not legal to keep the application fee. In addition, some states require that you disclose the name of the investigating agency that will receive the applicant’s information).

After you have obtained your completed residential lease application form, you have everything you need to complete a lease agreement. For additional information about a rental lease application, please visit our landlord information and landlord forms sections. has a variety of services to assist you in your rental process.

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