Rental Application – Robertson Properties

Personal Information

First Name *

Middle Name

Last Name *

Email *

Phone *

Date of Birth

SSN Last 4 Digits

Driver's License #

DL State

Estimated Credit Score

License Plate Number

Property Interest

Property Address Interested In

Bedrooms Needed

Desired Move-In Date

Monthly Rent Allowance

Monthly Expenses (not including rent)

Current Residence

Current Address

City

State

ZIP Code

Months at Current Address

Current Landlord / Property Manager

Landlord Phone

Reason for Leaving

Previous Residence

Previous Address

City

State

ZIP Code

Months at Previous Address

Previous Landlord / Property Manager

Landlord Phone

Reason for Leaving

Employment/Source of Income

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 charged or convicted of a felony? Have you filed for bankruptcy?

Landlord References

Please provide your two most recent landlords.

Most Recent Landlord Name

Phone

Property Address Rented

Previous Landlord Name

Phone

Property Address Rented

Emergency Contact

Name

Phone

Relationship

Signature & Agreement

PLEASE READ CAREFULLY: I hereby state and represent that the information in this application is complete and accurate. I understand that in the event a lease is entered into it may be canceled by the landlord, if any of the information provided in the application is materially inaccurate or incomplete. I hereby authorize the Landlord or Landlord's agents to verify the information on the application. Verification or re-verification of any information contained in the application will be retained by the Landlord. I hereby authorize the Landlord to obtain information about me, including, but not limited to, this application, my credit, my tenant history, my check writing history, any court records and/or my criminal records. *

Full Legal Name (Signature) *

I agree to the above statement *