APPLICATION TO RENT

Date of Application:______/______/______  Move In Date:______/______/______

Rental Address _______________________________ Unit # ________City ___________ State ________ Zip ______ Rent Amount ____________

ALL NON-MARRIED ADULTS MUST FILL OUT A SEPARATE APPLICATION AND PAY A SEPARATE SCEENING FEE

Applicant Name: _________________________________________ SSN: _______________________ Birth Date______/______/______

Other Names Used: ______________________________________ Drivers License Number: __________________ State of Issue: ______

Spouse Name: __________________________________________ SSN: ________________________ Birth Date______/______/______

Other Names Used: ______________________________________ Drivers License Number: __________________ State of Issue: ______

Have You Ever: Been Convicted Of A Criminal Offense? _____ Been Evicted? _____ Filed For Bankruptcy? _____ If Yes To Any, Please Explain.

Current Address ______________________________ Unit # ________City ___________ State ________ Zip ______ Phone _________________

Move In Date:______/______/______ Monthly Payment ____________ Own ______ Rent ______ Reason For Leaving? _____________________

Landlord/Mortgage Co. _______________________   Address ____________________ City ________ State _____ Zip ______ Phone__________

Former Address ______________________________ Unit # ________City ___________ State ________ Zip ______ Phone _________________

Move In Date:______/______/______ Monthly Payment ____________ Own ______ Rent ______ Reason For Leaving? _____________________

Landlord/Mortgage Co. _______________________   Address ____________________ City ________ State _____ Zip ______ Phone__________

Applicant Current Employer _____________________Address ____________________ City ________ State _____ Zip ______ Phone__________

Start Date:______/______/______ Position ____________________________________ Monthly salary __________________________________

Spouse Current Employer ______________________Address ____________________ City ________ State _____ Zip ______ Phone__________

Start Date:______/______/______ Position ____________________________________ Monthly salary __________________________________

Nearest Relative/Contact  ______________________Address ____________________ City ________ State _____ Zip ______ Phone__________

Applicant/Co-Applicant certify that the information provided herein is true and that any false information knowingly provided is subject to the penalty of perjury.  Applicant/Co-Applicant hereby authorize the landlord and/or agents to verify the information and obtain credit reports, criminal background, unlawful detainer, prior eviction information , past tenancy report and employment verification through ACRAnet.  Applicant/Co-Applicant understand that a NON-REFUNDABLE SCREENING FEE of $25.00 will be paid to the landlord/agent at the time the application is submitted.

Date:______/______/______  Applicant Signature: _____________________________ Co-Applicant Signature: ____________________________

Date:______/______/______  Manager/Landlord: ______________________________ Position: ________________________________________

2033 1st Street • Idaho Falls, ID 83401 • Phone (208)522-2525 • Fax (208) 881-9979

www.FrontierPropertyGroup.com