Renterdms Com

Applicant Understands that incomplete or incorrect information on this form may result in delay in processing and denial of tenancy.

By completing this application, I certify that I an at least 18 years of age. Applicant represents that all information given on this form is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords, employers and personal references.
Applicant hereby authorizes owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Telechecks, and/or personal references upon request. Applicant authorizes owner/agent to contact applicant via phone or email. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

540/602 Northern Hills Drive NE , Rochester, Minnesota, 55906
No Smoking No Pets Parking onsite

Applicant Name

Email address

Date of Birth (YYYY-MM-DD)

Social Security Number

Phone

Driver's License or Identification Number

Check if there are additional occupants (all adult occupants must apply separately)

Additional Occupant Name (if checked)

Check if you have pets

Type and age of pet (if checked)

Check if you own a vehicle

Make, Model, Year, and license plate number (if checked)

Have you ever been evicted?

Yes

If yes, describe when and the circumstances surrounding the eviction.

Have you ever been convicted of a crime?

Yes

If yes, describe when and the circumstances surrounding the conviction, when, what crime, and what were the consequences.

Have you ever been filed for bankruptcy?

Yes

If yes, describe when and the circumstances surrounding the bankruptcy.

Employment History

Current Employer

Supervisor's name

Occupation/Title

Supervisor's Phone Number

When did you start working? (YYYY-MM-DD)

Previous Employer

Supervisor's name

Occupation/Title

Supervisor's Phone Number

When did you stop working? (YYYY-MM-DD)

Residence History

Most Recent / Current Residence

Address

How long did you live at this address?

Landlord's name

Landlord's Phone Number

Previous Residence

Previous Address

How long did you live there?

Previous Landlord's name

Previous Landlord's Phone Number

Personal References and Additional Details

Personal Reference #1 Name, Relationship, and Phone Number

Personal Reference #2 Name, Relationship, and Phone Number

Personal Reference #3 Name, Relationship, and Phone Number

How did you hear about us?

If you were referred, who referred you?

Please provide any additional details which may support your application.