HOMEFINDERS REALTY, INC.,
309 S. 4th Street, Suite 101, Laramie, Wyoming
Phones: 307-745-8755
- Voice;
307-745-0802 -
FAX
** NOTE: This application must be signed. It may be returned by hand
delivery, U.S. Postal Service, FAX, or by scanning and emailing
UNIFORM
RENTAL APPLICATION
Property/(ies) applied
for____________________________________________________
Acceptable lease beginning dates: Earliest ____________
Latest:__________________
APPLICANT
INFORMATION
Name:__________________________________
Driver
Lic. # ___________________/State_______
Present Address_________________________
Social Security No.
_________________________
City:__________________________________ How
long at present address:_________________
State/ZIP______________________________ Present phone
____________________________
Landlord name_________________________
Present Landlord phone
____________________
Previous
Address_________________________
Date of birth __________ E-mail _____________
City:___________________________________ How long at previous address:________________
State/ZIP______________________________
Previous Landlord phone: __________________
Landlord name_________________________
Student ? Yes __ / No __
School____________
Employer _______________________________
Position _________________________________
Supervisor’s name________________________
Supervisor’s phone _______________________
___
SPOUSE
/ ___ CO-APPLICANT
INFORMATION
Name:__________________________________
Driver
Lic. # ___________________/State_______
Present Address_________________________
Social Security No.
_________________________
City:__________________________________ How
long at present address:_________________
State/ZIP______________________________ Present phone
____________________________
Landlord name_________________________
Present Landlord phone
____________________
Previous
Address_________________________
Date of birth __________ E-mail _____________
City:___________________________________ How long at previous address:________________
State/ZIP______________________________
Previous Landlord phone: __________________
Landlord name_________________________
Student ? Yes __ / No __
School____________
Employer _______________________________
Position _________________________________
Supervisor’s name________________________
Supervisor’s phone _______________________
OTHER INFORMATION (either applicant or co-applicant)
Have you ever been evicted or been asked to
vacate property you rented?
Yes __
/ No __
if yes: When?______________
Explanation___________________________________________
Have you (either applicant or co-applicant) ever declared bankruptcy?
Yes __ / No__
if yes:
When?______________ Explanation___________________________________________
Do you use illegal drugs?
Yes __ / No __
Do you engage in the distribution or sale of illegal drugs?
Yes __ /
No __
Do you have a waterbed? Yes __/ No __ If “yes,” do you have waterbed insurance?
Yes __
/ No __
Will children occupy the premises? Yes __
/ No __; if
yes, Number & ages______ / _____________
Will any pets occupy the premises? Yes __
/ No __; if yes, details:
___________________________
Will you commit to a NON-SMOKING policy for this property?
Yes ___
/ No ___
Name & telephone no. of person authorized to
take possession of your property in case of emergency:
Applicant __________________________________________________________________
Co-Applicant
_______________________________________________________________
REFERENCES [ “A” Applicant; “B” Co-applicant]
PERSONAL [persons other than parents who can attest to
your responsibility and suitability]
NAME
ADDRESS
RELATIONSHIP
PHONE
”A” _______________________________________________________________________________
”B” _______________________________________________________________________________
NOTE: Additional reference information such as financial / credit data may be requested for further evaluation
ACKNOWLEDGMENT
AND AGREEMENT
1.
Confidentiality. Applicants’ personal information is privileged and
will not be used for any purpose beyond the intended purpose of evaluating
applicants as prospective / actual lessees.
2. Applicant(s) represent(s) that the above statements are
true and correct and authorize(s) verification of information, references and
credit records. Applicant(s) acknowledge(s) that false information contained
herein constitutes grounds for rejection of this application if discovered
before move-in and grounds for termination of any resulting lease if discovered
after move-in.
____________________________________________
__________________________________________
Signature of Applicant
date
Signature of Co-Applicant
date