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Landlord or Contact Name: __________________________
phone # _____________________
Landlord Address: _______________________________________
Monthly Rental Amt.:______________
Resided on premises from _________to_____________
Employment Information:
Employer/Company Name
_______________________________________
Address _______________________________________
Supervisor's Name___________________________________
phone #_____________________
Position_____________________Salary $________
Start Date/Length of employment________
Employment Information for Co-Applicant:
Employer/Company Name _______________________________________
Address _______________________________________
Supervisor's Name___________________________________
phone #_____________________
Position_____________________Salary $________
Start Date/Length of employment________
I understand that I/we will be turned down if I/we falsify any information on this application. I/we authorize
verification of all above information by ______________________ to include credit, rental, employment and criminal background.
Applicant's signature
__________________________
Date_____________________
Co-Applicant __________________________
__
DO I NEED A RENTAL APPLICATION FILLED OUT? YES
Remember
person who answers your ad is a total stranger and you need to get to know him or her as quickly as possible. Have your potential renter fill out and sign a rental application. Along with
application get a copy of a photo ID.

dan the roommate man
www.roommateexpress.com