Room Rental Application Form

Room Rental Application Form

Please complete all sections of this form with accurate information.

Personal Information

Name

    Date of Birth

      Phone number

        Email

          Address

            Rental History

            Previous Landlord Name

              Phone number

                Address

                  Start Date

                    End Date

                      Reason for Leaving

                        Did you give proper notice to your previous landlord?

                        Were you ever asked to leave or evicted from a rental property?

                        Employment Details

                        Employer Name

                          Address

                            Position/Role

                              Length of Employment

                                Monthly Income

                                  Proof of Income

                                  Upload recent pay stubs, W-2 form, or Employment verification letter:

                                    Payment Method

                                    Can you provide the first month's rent upfront?

                                    Preferred Payment Method

                                      • Bank Transfer

                                      • Cash

                                      • Credit Card

                                      • Debit Card

                                      • Online Payment

                                      Will you be staying for at least 6 months?

                                      References

                                      Name

                                      Relationship

                                      Contact Information

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