JRA Rental/Credit Application

Property Location: -Rental Amount: $0.00 – Move-In Date Requested

Please complete the form below

Applicant Information

Applicant Name

First Name

Last Name

Date of Birth

YYYY

Social Security Number

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Cell

(###)

###

####

Driver's License Number

Vehicle Make

Vehicle Year

Model / Color

Current Employer / Contact

Title

Phone

(###)

###

####

Number of years

Previous Employer / Contact

Title

Phone

(###)

###

####

Number of years

Rental History

Current Landlord

Phone

(###)

###

####

Number of years

Previous Landlord

Phone

(###)

###

####

Number of years

Co-Applicant Information

Co-Applicant Name

Date of Birth

YYYY

Social Security Number

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Cell

(###)

###

####

Driver's License Number

Vehicle Make

Vehicle Year

Model / Color

Current Employer / Contact

Title

Phone

(###)

###

####

Number of Years

Previous Employer / Contact

Title

Phone

(###)

###

####

Number of Years

Rental History

Current Landlord

Phone

(###)

###

####

Number of Years

Previous Landlord

Phone

(###)

###

####

Number of Years

Emergency Contact Information

In Case of Emergency Please Notify

Phone

(###)

###

####

Relationship

Authorization for Release of Information

Applicant Signature

Date

YYYY

Co-Applicant Signature

Date

YYYY

I hereby certify that the information given to evaluate my application for tenancy is correct and complete. I authorize you and/or your agent(s) to make any and all inquiries (including a credit and/or background check) necessary to determine my qualification for tenancy. I further understand that any false information provided, will immediately terminate my application. I understand typing my name in the form is equivalent to my signed name/ signature. In addition, I understand that any application fee(s) that may apply are nonrefundable.