Application to rent apartment       ___________ Date________

Name:______________________________________

Current Address:

Street: ______________________________________________________ Apt #: ____

City: ______________________________________ State: ___________ Zip: _______

Phone: Day: _________________  Eve: __________________ Cell: ________________

Email Address: ______________________ Website: ____________________________

 

Current Landlord: _______________________________________________________

Street: _____________________________________________________ Suite #: ____

City: ______________________________________ State: ___________ Zip: _______

Phone: Day: _________________  Eve: __________________ Cell: ________________

Email Address: ______________________ Website: ____________________________

 

Previous Address:

Street: ______________________________________________________ Apt #: ____

City: ______________________________________ State: ___________ Zip: _______

 

Previous Landlord: ____________________________________________________

Street: _____________________________________________________ Suite #: ____

City: ______________________________________ State: ___________ Zip: _______

Phone: Day: _________________  Eve: __________________ Cell: ________________

Email Address: ______________________ Website: _____________________________

 

Current Employer: ________________________Current job:_____________________

Name of Company Contact: ________________________ Title: _________________

Street: _____________________________________________________ Suite #: ____

City: ______________________________________ State: ___________ Zip: _______

Phone: _________________  Fax: _______________ Email Address: _______________

Website: _____________________________

 

Previous Employer: ___________________ Previous job: _____________________

Name of Company Contact: _____________________Title: _____________________

Street: _____________________________________________________ Suite #: ____

City: ______________________________________ State: ___________ Zip: _______

Phone: _________________  Fax: _______________ Email Address: _______________

Website: _____________________________

 

References (2 Personal reference who knows you well)

name:_____________________________________  Phone: __________________

email:_____________________________________

 

name:_____________________________________  Phone: __________________

email:_____________________________________

 

Credit References

Name of Bank: ________________________ 

Name of Bank representative_________________________ Phone:________________

 

I hereby certify that I am over 18 years of age and that the above application is true.

I also give the landlord or its agents permission check my credit and contact the above mentioned  references for the purpose of applying for the aforementioned apartment.

_________________________________

(Applicant’s Signature and date)

 

 

Sign and send this application to Andy Gustafson, 3126 Chicago St Omaha  (or email to andygustafso@yahoo.com)  Thank you.