RENTAL APPLICATION
Property Desired Move-in
Applicant Name Phone DOB    
Social Security# Drivers License # State Expires
Current Address City/St How long?    
Current Landlord Phone Rent Amt $    
Previous Address City/St How long?    
Previous Landlord Phone Rent Amt $    
  Move-in Date:  Move-out Date:        
Present Employer Position Income $    
Employer's Address Phone How long?    
Previous Employer Phone How long?    
Co-Applicant Name Phone DOB    
Social Security# Drivers License # State Expires
Current Address City/St How long?    
Current Landlord Phone Rent Amt $    
Previous Address City/St How long?    
Previous Landlord Phone Rent Amt $    
  Move-in Date:  Move-out Date:        
Present Employer Position Income $    
Employer's Address Phone How long?    
Previous Employer Phone How long?    
Number of pets Type/Breed Weight Age
Auto Yr Make Model State Lic. Plate #
Reference: Name Relationship Phone    
Name Relationship Phone    
Emergency Contact Relationship Phone    
Have you ever been party to an eviction? Yes No Have you ever broken a lease? Yes No
Have you ever been convicted of a felony? Yes No Are you a registered sex offender? Yes No
Are applicants a married couple? Yes No
Total # of adults  Total # of children under 18 
I CERTIFY that all information given herein is true and complete to the best of my knowledge. I authorize its verification and the obtaining of a credit report and criminal record. I agree that the landlord may, at any time, terminate any agreement entered into in reliance on any misrepresentation made in this application. Any deposits accepted prior to a lease agreement are considered non-refundable.
I have read and agree to the AIM acceptance policy.