RENTAL APPLICATION

(print & mail to above address or download the form HERE and email back to us)

THANK YOU FOR CONSIDERING US AS YOUR POTENTIAL LANDLORD!

I rent quality houses to quality people. Please fill out this application so we can see if we are a good landlord-tenant match. Provide as much information as you can. Please print as neatly as possible.

Property:
House you are interested in:______________________________________ Listed price:_______________

Personal:
Contact person in your group: _________________________ Phone#_____________________________
Your name: _____________________________________________ E-mail address:________________
(First) (M.I.) (Last)
Date of Birth:_______________ Age:________ Social Security No:_______________________________
Drivers License #___________________ State of:_________
Current Address:________________________________________ Sorority/Fraternity_______________
_________________________________________ Dorm:_______________________
(city) (state) (zip)
Current Phone#:____________________ Work #:__________________ Cell#______________________
Permanent address:_______________________________ Telephone #:____________________________
___________________________________________
(city) (state) (zip)

Automobile: Make: __________ Model: __________ Year: _____ Tag #: ____________State: _________
Income to pay rent will come from: [ ] Job [ ] Student Loans [ ] Relatives [ ] Other: ____________

Rental History:
Present Landlord (or R/A): ________________________________________
Present Landlord's (or R/A's) Phone Number : (_____)_______-__________
Present Monthly Payment: $____________ How long at this address? ______________
Prior Landlord (or R/A): ________________________________________
Prior Landlord's (or R/A's) Phone Number : (_____)_______-__________
Bank References (Checking & Savings Accounts):
Name of Bank: ______________________Type of Account: ______ Account#: _________________
Name of Bank: ______________________Type of Account: ______ Account#: _________________

Employment Information:
Present Employer:__________________________Address_____________________________
Phone: _____________ Supervisor: ______________ Title or Occupation: ______________________
How Long?___________ Gross Income: _________________ per week (or [ ] month or [ ]
Previous Employer:__________________________Address_____________________________
Phone: _____________ Supervisor: ______________ Title or Occupation: ______________________
How Long?___________ Gross Income: _________________ per week (or [ ] month or [ ]

Student Information:
I attend: [ ] U of Del. [ ] Other__________________________ [ ] Full time [ ] Part time
Next year I will be a: Freshman_____ Sophomore_____ Junior_____ Senior_____ Grad. Student_____
What month/year did you start classes at UD __________ If Senior; Graduating in January__ or May__
Your Major:___________________________ Cumulative G.P.A._________ (provide transcript printout)
Athletic teams(s) ____________________________________________________________________
Name/phone for coach(es): ____________________________________________________________
Have you taken the U of D Preferred Tenant course? [ ] Yes [ ] No

Character:
Have you ever been evicted from any tenancy? [ ] Yes [ ] No
Have you ever willfully and intentionally refused to pay rent when due? [ ] Yes [ ] No
Do you know of anything, which may interrupt income or ability to pay rent? [ ] Yes [ ] No
Will you be considerate of neighbors (providing names and phone numbers)? [ ] Yes [ ] No
Will you entertain without noise, disorderly premises or alcohol infractions? [ ] Yes [ ] No
Will you maintain the yard (grass cut, walks edged, weeds & litter removed)? [ ] Yes [ ] No
Will you keep trash cans neat, observing common courtesy and ordinances? [ ] Yes [ ] No
Will you keep sidewalks clear of snow? [ ] Yes [ ] No
Are you aware of Newark’s “two strikes” mandatory eviction ordinance? [ ] Yes [ ] No
Have you ever been cited for violation of a Newark ordinance? [ ] Yes [ ] No
Have you ever been convicted of a felony or Class A misdemeanor? [ ] Yes [ ] No
Parent/guardian information (if a source of rental income):

Name: ____________________________________________
Address: _________________________________ City: _________________ State: ___ Zip: _______
Phone: ____________________________ Relationship: ______________________________

Will your parent or guardian co-sign the lease? [ ] Yes [ ] No

I hereby swear or affirm that the answers I have given in this application are true and correct to the best of my knowledge. I understand that any false answers or statements made by me shall be sufficient grounds for eviction and loss of security deposit. I AUTHORIZE DISCLOSURE OF FINANCIAL, RENTAL HISTORY AND CRIMINAL BACKGROUND INFORMATION TO LANDLORD(S), HOLDING DISCLOSERS HARMLESS.

Signature:__________________________________________________ Date:________________