Please complete the rental application below in its entirety.
By submitting this application I give Old Mill Realty authorization to verify the information and to run a credit & criminal report profile as part of my application for a property to rent. ANY false or misleading information listed will be sufficient cause for IMMEDIATE rejection of this application, no exceptions. NOTE: Fiance or single roommates must fill out separate applications .
Address of Property applying for*
Date needed & anticipated length of occupancy
Name*
Date of Birth*
Social Security Number
Drivers License and state*
Present phone #'s*
Present Address*
How Long at Present Address?
Landlord/Agent & phone #
How long at previous address?
Previous Address
Previous Landlord or Agent & phone #
Name of Employer, Type of Business & Position Held
Employer Address, Phone, Name & Title of Supervisor
Monthly Gross Income*
How Long Employed?
Other Occupants: Name & age of each
Name of Spouse
Social Security Number
Date of Birth
Driver's License
Spouse Current Address
Spouse Current Landlord name & phone number:
Spouse length at current address
Spouse employer, type of business & position held
Spouse employer address,phone, name & title of supervisor
Monthly Gross Income
How Long Employed?
List 2 Personal References, City/State, Phone & Occupation
List 2 Nearest Relatives, City/State, Phone & Relationship to you
Car #1 Year, Make, Model, License #
Car #2, Year, Make, Model. License #
Have you ever filed for bankruptcy *
no no
yes
Do you have any kind of pets?
yes yes
no
If Yes to pets: Type, Size, Number
Have you ever been evicted? *
no no
yes
Have you ever willfully & intentionally refused to pay any rent when due?*
no no
yes
I authorize Old Mill Realty to verify the above info, run a credit report profile & run a background check.*
yes yes
no
Email*
* fields are required