Rental Application - Happy Hound Rentals

Anticipated Length of Occupancy

Personal Data

Name

Date Of Birth

DL#

Co-Tenant

Date Of Birth

DL#

Present Address

Street Address City State ZIP Code

Home Phone

Business Phone

Primary Tenant Email Address

How long at present home?

Primary Tenant

Landlord/Mortgage Company

Phone

Co Tenant

Landlord/Mortgage Company

Phone

Previous Address

Street Address City State ZIP Code

Primary Tenant

Street Address City State ZIP Code

Co Tenant

Street Address City State ZIP Code

How long at this address?

Primary Tenant

Landlord/Mortgage Co.

Phone

Co Tenant

Landlord/Mortgage Co.

Phone

Occupation

Present Occupation

Prior Occupation

Co Tenant's Occupation

Present Employer

Prior Employer

Co Tenant's Employer

Present Self Employed DBA

Prior Self Employed DBA

Co Tenant's Self Employed DBA

Present Business Phone

Prior Business Phone

Co Tenant's Business Phone

Present Type of Business

Prior Self Type of Business

Co Tenant's Type of Business

Present Business Held

Prior Business Held

Co Tenant's Business Held

Present Name/Title Supervisor

Prior Name/Title Supervisor

Co Tenant's Name/Title Supervisor

Present How Long?

Prior How Long?

Co Tenant's How Long?

Present Month Gross Income

Prior Month Gross Income

Co Tenant's Month Gross Income

References

Bank Reference

Address

Phone

Bank Reference

Address

Phone

Credit Reference

Acct#

City

Highest Amount Owed

Purpose of Credit

Date Opened / Date Closed

Credit Reference

Acct#

City

Highest Amount Owed

Purpose of Credit

Date Opened / Date Closed

Personal Reference

Name

Address

City

Phone

Name (second)

Address

City

Phone

Name (third)

Address

City

Phone

Nearest Relative

Address

City

Relationship

City

Address

Nearest Relative

Have you ever filed bankruptcy? Primary Tenant (yes/no)

Have you ever filed bankruptcy? Co Tenant (yes/no)

Have you ever been evicted from a tenancy? Primary Tenant (yes/no)

Have you ever been evicted from a tenancy? Co Tenant (yes/no)

Have you ever willfully and intentionally refused to pay any rent when due? Primary Tenant (yes/no)

Have you ever willfully and intentionally refused to pay any rent when due? Co Tenant (yes/no)

This Addendum is made a part of the Residential Lease Agreement for Single-Family Dwelling as if quoted therein verbatim. Should the terms of this Addendum conflict with the terms of the Residential Lease Agreement for Single-Family Dwelling or other documents executed prior to or simultaneous to the execution of this Addendum, the terms of this Addendum shall control, and the conflicting terms are hereby considered deleted and expressly waived by both landlord and Tenant. In all other respects, the Residential Lease Agreement shall remain in full force and effect.

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT, AUTHORIZE its VERIFICATION AND THE OBTAINING OF A CONSUMER CREDIT REPORT. I agree that Landlord may terminate any agreement entered into in reliance on any misstatement above.

The parties below have signed and acknowledge receipt of copy

Tenant Signature

Date

Co Tenant Signature

Date