Rental Application – Robertson Properties

Personal Information

First Name *

Last Name *

Email *

Phone *

Date of Birth

SSN Last 4 Digits

Driver's License #

DL State

Property Interest

Property Address Interested In

Desired Move-In Date

Monthly Budget

Current Residence

Current Address

City

State

ZIP Code

Months at Current Address

Current Landlord / Property Manager

Landlord Phone

Reason for Leaving

Employment

Employer

Employer Phone

Job Title

Gross Monthly Income

Employment Start Date

Occupants & Pets

Additional Occupants (besides yourself)

Names & Ages of Additional Occupants

I have pets

Background Information

A yes answer does not automatically disqualify your application. Explanation is required.

Have you ever been evicted? Have you been convicted of a felony? Have you filed for bankruptcy?

References

Reference 1 Name

Phone

Relationship

Reference 2 Name

Phone

Relationship

Emergency Contact

Name

Phone

Relationship

Signature & Agreement

By typing your name below, you certify that all information provided is true and accurate to the best of your knowledge. You authorize Robertson Properties to verify all information and run a background/credit check.

Full Legal Name (Signature) *

I agree to the above terms and authorize background verification *