Rent Form
Rent Form
Rent Form
First
Initial
Other Residents
Drivers License #
Social Security #
Date of Birth
Relationship
Social Security #
Age
Email addresses:
Residence History
Address, City, State, Zip
Current
Address
Move-In Date
Phone
Projected Move-Out Date
Monthly Payment
Own/Rent/Lease
Phone
Previous
Address
Move-In Date
Phone
Move-Out Date
Monthly Payment
Own/Rent/Lease
Phone
Describe pet:
Describe furniture:
Employment History
Employer Name
Current
Employer
Supervisor Name
Start Date
Employer Name
Previous
Employer
(Circle One)
Phone
Supervisor Name
Start Date
Position/Occupation
Phone
Position/Occupation
Vehicles
Auto #1 - Make/Model
Registered Owner
Year
Color
License
State
Auto #2 - Make/Model
Registered Owner
Year
Color
License
State
Credit Reference
Account #
Telephone No.
Checking Account #
Telephone No.
Savings Account #
Have you ever filed
for Bankruptcy?
When?
Describe:
Emergency Contact
Nearest Relative/Next of Kin
Relationship
Cell Phone
Email Address
Phone
Phone
Personal References
Name of Personal Reference
Length of Acquaintance
Cell Phone
Name of Personal Reference
Email Address
Length of Acquaintance
Cell Phone
Phone
Email Address
I understand that I acquire no rights in an apartment until a fully executed rental agreement has been completed and all
monies due have been paid. I certify that to the best of my knowledge, all statements are true and complete.
Applicant
FPI Management, Inc.
G:\Excel\FPI-Rental Application (Conventional, D4)
April 2014 supersedes May 2011
Date