TENANT INFORMATION
Your name
____________________________________________________________
Your address ________________________ Soc. Sec. No.
______________________
Your home phone _____________________ Work Phone
______________________
Who lives with you? (include ages of children
please) __________________________
_____________________________________________________________________
What pet(s) do you have? ________________________________________________
Do you have a waterbed?
________________________________________________
What vehicle(s) do you have? Make(s)
_____________________________________
License(s) ______________________________________
Where do you work? (Company Name)
____________________________________
Where does your co-tenant work?
_________________________________________
When did you move in?
_________________________________________________
What is your current rent per month?
_______________________________________
What date is your rent paid up to right now?
_________________________________
When is your rent due each month?
________________________________________
What refundable deposits have you paid? Keys $
________ Security $ ____________
Cleaning $ _________ Other (please explain) $
______________________________
When you moved in, you paid your first month's
rent. Did you also then pay your last
month's rent? ________ If so, how much
was it? $ ___________________
Which of the following furnishings in your dwelling
belong to the owners of the building? (Please give room locations where
appropriate)
Carpets
____________________________ Drapes
____________________
Shades
____________________________ Blinds
_____________________
Stove
______________________________ Refrigerator
________________
Other
appliances (Please list) ______________________________________
______________________________________________________________
Other
Furniture (Please list) _______________________________________
______________________________________________________________
Do you have a rental agreement or lease in writing?
___________________________
If
so, what is the date of the latest one ________________________________
In case of an emergency, what friend or relative
should we contact?
Name
________________________________ Phone No. _______________
Date _______________ Your
Signature ___________________________________
