LEASE APPLICATION Name * First Name Last Name Email * Phone * (###) ### #### Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Social Security Number Who else is applying with you? Name First Name Last Name Current Monthly Payment or Rent Amount * depending of if you own or rent Landlord Name and Phone Number How Long Living There? Current Employer Employment Address Address 1 Address 2 City State/Province Zip/Postal Code Country How Long Employed? Contact for Employment Verification First Name Last Name Phone (###) ### #### Email Position Annual Income $ Emergency Contact (not residing with you) First Name Last Name Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Relationship Reference #1 NAME/ADDRESS/PHONE Reference #2 NAME/ADDRESS/PHONE Vehicle Make and Model Vehicle Year & Color License Plate Number State Do you Smoke Yes No Do you have pet(s) Yes No Thank you!