Tenant's Application to Rent
Personal
Information
Name FIRST ___________________ MI DDLE NAME _________________ LAST ________________ D.O.B.____/____ /19___ SS # _____-___
-______
Driver’s License (state and number) _______________________________________________________
Spouse FIRST ___________________ MI DDLE NAME _________________ LAST ________________ D.O.B.____/____ /19___ SS # _____-___
-______
Driver’s License (state and number) _______________________________________________________
Telephone Number (
)____________________ Cell
Numbers ( )
____________________________
E-Mail Address:____________________________ Children (list names
and ages) ___________________________________
__________________________Pets
(specify) ___________________________Service Pets______________________________
List
all vehicles (and license plate numbers) that belong to tenants _______________________________________________________
Will
you have the following on the premises?
Race car_____ RV or boat (type?)________________Aquarium (size?)
____________
Nearest
relative
_____________________________________
Relationship ______________________________________________
Address
____________________________________________________ Phone ( ) _________________
Possession wanted when? __________________________________Do you have a waterbed? YES NO
This property is offered with no smoking in the residence or garage. Do any of the applicants smoke? YES NO
Do you have an Oregon Medical Marijuana card? YES
NO We
do NOT rent to tenants with a MMC who grow marijuana for others
Landlord
References
Current
address STREET
_____________________________________________________ CITY ___________________________ STATE ________ ZIP _____________________
Dates
rented at this address?
_____________________________________________ Rent Amount ________________
Current
landlord: NAME
_____________________________________________________________________________________________________________________________________
ADDRESS ____________________________________________________________________________________ PHONE
( ) ______________
Reason
for moving at this time
__________________________________________________________________________________
Previous
address STREET
_____________________________________________________ CITY ___________________________ STATE ________ ZIP _____________________
Dates
rented there?
______________________ Rent
Amount ______________________
Previous
landlord: NAME
_____________________________________________________________________________________________________________________________________
ADDRESS
__________________________________________________________________________________ PHONE
( ) _______________
Have
you or any other applicants been evicted from rented premises in the last 5
years? YES NO
If yes, please explain
_________________________________________________________________________________________
Employment
Information
Your
Employer______________________________________ Supervisor _______________________ Phone ( )____________
Employer’s
Address
____________________________________________________________________________________________
Position _______________________ Gross monthly income $__________ Beginning
date of employment _____________________
Other
Income
_________________________________________________________________________________________________
____________________________________________________________________________________________________________
Spouse
Employer____________________________________ Supervisor _______________________ Phone ( )____________
Employer’s
Address
____________________________________________________________________________________________
Position _______________________ Gross monthly income $__________ Beginning
date of employment _____________________
Other
Income
_________________________________________________________________________________________________
____________________________________________________________________________________________________________
Financial
Monthly
installment debts (car, credit cards, etc)....itemize type and amount
_______________________________________________
Checking
Account BANK NAME
BRANCH ACCT
NO
Property
Information
PROPERTY
ADDRESS ____________________________________________________________________________________
RENT
AMOUNT $_________ per month DEPOSIT AMOUNT $_________ refundable. An additional $_____________refundable deposit will be required for a pet. Unless
otherwise stated lessee is responsible for paying all utilities. Lessor pays WATER SEWER
TRASH NONE
__________________ Appliances
included______________________________________________________ ACCOUNT NO __________ PAID
$____________ DATE ____/_____/20__
All properties are offered
for a year’s lease unless otherwise noted. Terms for less than 12 months may result in
a higher rental rate. The undersigned hereby authorizes OAK TREE REALTORS,
INC. to obtain a credit report for
purpose of processing application, and furthermore authorizes OAK TREE
REALTORS, INC. to verify employment and
rental references and to obtain any information from any police authority that
may be of record. A processing fee of $35
will be charged for the first adult, and
$25 for each additional adult. The undersigned acknowledges that he/she has read the reverse
side of this form.
Dated
_____________________ 20__
Signature ______________________________________________
Signature ______________________________________________
Oak Tree Realtors, Inc.