TENNESSEE RENTAL APPLICATION
Prospective Address
Desired Date of Occupancy Desired Length of Occupancy
Tenant Date of Birth Type of Car Present Address City Phone Why are you moving?
Social Security # Drivers License #
State
How long? Zip Code
Landlord
Phone
Type of Pet Name
How old?
Employer’s Name Address Phone Position How long?
Supervisor’s Name
Net Monthly Income: Source [ ] Wages [ ] Salary Net Monthly Take-home Pay $
[ ] Commission [ ] Tips
[ ] Gov’t Assistance [ ] Other
RENTAL APPLICATION (continued) Personal Reference 1.
Address
Phone
Nearest Relative 1.
Address
Phone
Emergency Contact 1.
Address
Phone
Do you own any real estate? If so, where and what? Have you ever been evicted from any tenancy? Have you ever willfully & intentionally refused to pay rent when due? Do you know of anything which may interrupt income or ability to pay rent?
[ ] Yes
[ ] No
[ ] Yes [ ] Yes [ ] Yes
[ ] No [ ] No [ ] No
I hereby certify that the answers I have given in this application are true and correct to the best of my knowledge. I understand that any false answers or statements made by me will be sufficient grounds for eviction and loss of any security deposit. Verification may be obtained from any source named in this application.
Date
Tenant
Co-tenant