Applications must be signed. Please
print the form, complete it (legibly), sign it
and either fax, mail, or hand deliver it to the address below.
HOMEFINDERS REALTY, INC., 309 S. 4th Street,
Suite 101, Laramie, Wyoming (307) 745-8755
UNIFORM RENTAL APPLICATION
Property/(ies) applied
for___________________________________________________
Acceptable lease beginning dates: Earliest _______________
Latest:_______________
APPLICANT INFORMATION
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 __________ E-mail:___________
Landlord name____________________________ Present Landlord phone ____________________
Previous Address____________________________ Date of birth ____________________________
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 served eviction notice 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
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 to notify and person authorized to take
possession of your property in case of emergency:
Applicant
_________________________________________________________________________
Co-Applicant
_______________________________________________________________________
REFERENCES [ "A" Applicant; "B"
Co-applicant, "J" Joint]
A. CREDIT / FINANCIAL
BANK / COMPANY
/
ADDRESS
/ ACCT.
No. /
PHONE
"A" _______________________________________________________________________________
"B" _______________________________________________________________________________
_"J" _______________________________________________________________________________
B. PERSONAL [persons other than parents who can attest to your
responsibility and suitability]
NAME /
ADDRESS /
RELATIONSHIP /
PHONE
____ ________________________________________________________________________________
____ ________________________________________________________________________________
ACKNOWLEDGMENT AND AGREEMENT
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.
________________________________________________
____________________________________________