RHA RENTAL APPLICATION

For apartment at (address)*

Monthly Rent*

Applicant Name*

Date of Birth*

Social Security Number (xxx-xx-xxxx)*

Present Address*

Since*

Home Phone Number*

Work Phone Number

Applicant Email*

Present Landlord Name*

Present Landlord Address*

Present Landlord Phone*

Current Salary*

Since*

Present Employer Name*

Present Employer Address*

Present Employer Phone*

Names of all co-tenants*

(each adult must file a separate application)

Total number of occupants*

Total number of adults*

Total number of pets*

Names and ages of minor children*

Term of Lease

Number of months*

Beginning (select date)*

Ending (select date)*

I consent to lessors verifying the above information, including obtaining a credit report.

Today's Date (select date)*