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.

1380 Oleander Street, Medford, Oregon 97504-5400    Telephone (541) 772-9040 or (800) 793-9232, fax (541) 772-2710