Tennessee Rental Application FormTennessee Rental Application Form
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TENNESSEE RENTAL APPLICATION

Prospective Address

Desired Date of Occupancy
Desired Length of Occupancy

Tenant
Date of Birth
Type of Car
Present Address
City
Phone
Why are you moving?

Social Security #
Drivers License #

State

How long?
Zip Code

Landlord

Phone

Type of Pet
Name

How old?

Employer’s Name
Address
Phone
Position
How long?

Supervisor’s Name

Net Monthly Income: Source [ ] Wages
[ ] Salary
Net Monthly Take-home Pay $

[ ] Commission
[ ] Tips

[ ] Gov’t Assistance
[ ] Other

RENTAL APPLICATION (continued)
Personal Reference
1.

Address

Phone

Nearest Relative
1.

Address

Phone

Emergency Contact
1.

Address

Phone

Do you own any real estate?
If so, where and what?
Have you ever been evicted from any tenancy?
Have you ever willfully & intentionally refused to pay rent when due?
Do you know of anything which may interrupt income or ability to pay rent?

[ ] Yes

[ ] No

[ ] Yes
[ ] Yes
[ ] Yes

[ ] No
[ ] No
[ ] No

I hereby certify that the answers I have given in