Futrell Properties, LLC Rental Application

Please provide all requested information. Applications with empty yellow boxes will not be considered.

Step 1: General Information

First Name

Last Name

Home/Cell Phone:

Work Phone:

Social Security Number

List everyone, including children, who will live with you and indicate their relationship to you:

Step 2: RENTAL HISTORY

Current Address:

Dates Lived at Address:

Rent Payment:

Security Deposit

Reason for Leavimg

Landlord/Manager:

Landlord/Manager Phone:

Previous Address:

Dates Lived at Address:

Rent Payment:

Security Deposit

STEP 3: EMPLOYMENT HISTORY

Name and Address of Current Employer:

Supervisor's Name

Supervisor's Phone

Dates Employed at this Job:

Position or Title:

STEP 4: INCOME and FINANCIAL OBLIGATIONS

Gross monthly employment (before deductions):

Regular Monthly Income from Other Sources:

Specify Sources and Amounts of Other Income:

Total Income

Indicate all Monthly Payments (loans, credit card, etc.) and the Amount of Each

STEP 5: PERSONAL HISTORY

Have you ever filed for bankruptcy?

YES NO

Have you ever been sued?

YES NO

Have you ever sued someone else?

YES NO

Have you ever been evicted?

YES NO

Have you ever been convicted of a crime?

YES NO

Please explain any "yes" from the above questions

STEP 6: REFERENCES

Reference Number One

Relationship

Address

Phone:

Reference #2

Relationship

Address

Phone:

Step 7 : Miscellaneous

Describe the number and type of pets you ant to have on the rental property:

Where did you learn of this vacancy?

Do you smoke? Yes No