Blank Application for Lease Letter

---

Your Company Name:                               

Your Company Address:                               

Your Company Email:                               

Date:                               

---

Applicant Information

• Full Name:                               

• Date of Birth:                               

• Social Security Number:                               

• Driver’s License Number:                               

• Email Address:                               

• Phone Number:                               

---

Current Address

• Address:                               

• City, State, Zip Code:                               

• Duration at Current Address:                               

• Landlord's Name:                               

• Landlord's Phone Number:                               

---

Previous Rental History

• Previous Address:                               

• City, State, Zip Code:                               

• Duration at Previous Address:                               

• Landlord's Name:                               

• Landlord's Phone Number:                               

---

Employment Information

• Current Employer:                               

• Position/Title:                               

• Salary:                               

• Duration of Employment:                               

• Supervisor’s Name:                               

• Supervisor’s Phone Number:                               

---

Financial Information

• Monthly Income:                               

• Other Sources of Income:                               

• Total Income:                               

• Bank Reference:                               

• Bank Contact Number:                               

---

References

1. Name:                               
   Relationship:                               
   Phone Number:                               

2. Name:                               
   Relationship:                               
   Phone Number:                               

---

Acknowledgment and Signature

I, the undersigned, acknowledge that the information provided in this application is true and complete. I authorize the landlord to verify any information provided and conduct background checks as necessary.

Signature

Date:                               

---

Letter Templates @ Template.net