The following sections must be completed by the Applicant. Please note that, except for married couples, each occupant who is 18 years of age or older has to complete a separate application to rent.
Shall the Applicant have any question regarding the rental unit, please contact _________ at:
Email Address: _________
Phone: _________
The Applicant is a: (check one)
( ) Tenant
( ) Tenant with co-tenant(s)
( ) Guarantor/co-signor
Application to rent property at the following address:
_________ , _________, LA _________
Type of Property: House
Date of Availability: _________
Proposed Move-In Date: _________
APPLICANT'S INFORMATION
Please attach a copy of your Driver's License, State ID, Military ID, or Passport.
FULL NAME OF APPLICANT: ________________________________________________________________
Date of Birth: _________________________ (Optional. For purpose of obtaining credit reports. Age discrimination is prohibited by state and federal law)
Driver's license number or any valid ID: _________________ State: ______________ Expires: _________________________
Email Address: ____________________________________________________
Home Phone: (______) ___________ Alternative Phone: (______) ___________
CO-APPLICANT'S INFORMATION (if applicable)
Please attach a copy of your Driver's License, State ID, Military ID, or Passport.
FULL NAME OF CO-APPLICANT: ________________________________________________________________
Date of Birth: _________________________ (Optional)
Driver's license number or any valid ID: _________________ State: ______________ Expires: _________________________
Email Address: ____________________________________________________
Home Phone: (______) ___________ Alternative Phone: (______) ___________
OTHER OCCUPANTS' INFORMATION (if applicable)
Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)
Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)
Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)
Name: ____________________________________________________________________
Relation to Applicant: ______________________ Date of Birth: ______________ (Optional)
EMERGENCY CONTACT
In case of emergency, please contact:
Emergency contact #1: ____________________________________________________
Relationship: _______________________
Address: ____________________________________________________________________
Phone: _______________________
Email Address: ____________________________________________________
Emergency contact #2: ____________________________________________________
Relationship: _______________________
Address: ____________________________________________________________________
Phone: _______________________
Email Address: ____________________________________________________
ADDITIONAL INFORMATION
Pets
Pets are not allowed in the rental property. However, as provided by law, a Service Animal(s) is not considered a pet, and every individual with a disability shall have a right to have a Service Animal(s) on the Property.
Waterbeds
The Landlord prohibits the use of waterbeds on the rental unit.
Smoking and Vaping
The Landlord does not allow smoking or vaping in the rental unit.
CONSENT & ACKNOWLEDGEMENT
By signing this Residential Rental Application, the Applicant accepts and agrees to the following:
| (i) | This is only an application to rent and does not guarantee that the Applicant will be selected as a tenant of the premises. |
| (ii) | The Landlord or Manager or his/her authorized Agent could receive multiple rental applications for the premises and will only select the most qualified individual. |
| (iii) | Applicant represents the above information to be true and complete. |
Applicant hereby authorizes the Landlord or Manager or his/her authorized Agent to do the following:
| (i) | Verify all of the personal information provided above. |
| (ii) | Obtain a credit report, as well as other reports, on the Applicant. |
| (iii) | Applicant further authorizes the Landlord or Manager or his/her authorized Agent to disclose information to the owners or agents of the premises with whom the Applicant intends to have a rental relationship. |
| Does the Applicant wish to receive a copy of the reports that we may obtain? | Yes ( ) No ( ) |
Notice of Non-Discrimination
The Landlord does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any approval/disapproval of this application.
| _______________________________ | ___________ |
| Applicant's Signature | Date |
| |
| _______________________________ | ___________ |
| Co-Applicant's Signature | Date |