Rental Application

Main Applicant

Name

Address

Date of Birth

Work Phone

Home Phone

Present Landlord

Address

Telephone

Names and ages of all persons who will occupy the premises

Previous Tenancies
List previous rentals, starting with the most recent and working back.

Landlord

Address

Telephone

Landlord

Address

Telephone

Current Employment

Full Time

Part Time

Retired

Student

Unemployed

Name of Employer

Bus. Phone

Salary

Occupation

Length of Time

(if current employment is less than 1 year) Previous Employment

Full Time

Part Time

Retired

Student

Unemployed

Name of Employer

Bus. Phone

Salary

Occupation

Length of Time

Co-Applicant

Name

Phone

Date of Birth

Current Employment

Full Time

Part Time

Retired

Student

Unemployed

Name of Employer

Bus. Phone

Salary

Occupation

Length of Time

(if current employment is less than 1 year) Previous Employment

Full Time

Part Time

Retired

Student

Unemployed

Name of Employer

Bus. Phone

Salary

Occupation

Length of Time

Credit Information:
List bank, credit union, credit card or other credit references.

Name

Address

Type of Account

Name

Address

Type of Account

Name

Address

Type of Account

Personal References

Name

Phone

Relationship

Name

Phone

Relationship

In case of emergency, notify

Name

Phone

Address

Type of tenancy required

Bachelor

1 Bedroom

2 Bedroom

3 Bedroom

4 Bedroom

Senior Bungalow

Comments

I / We declare that the information provided in this application is accurate and complete.

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I / We authorize Hillcrest Housing Ltd. to obtain and/or exchange personal information with any personal information agent towards establishing or verifying my financial standing.

Privacy Policy
In connection with your possible rental, Hillcrest Housing may obtain information about you as described in this notice, which we will handle as stated in this notice.

We collect nonpublic personal information about you from the following sources:

Information we receive from you on applications or other forms;
Information about your transactions with us; and
Information we receive from a consumer reporting agency (credit bureau)

We do not disclose, nor do we reserve the right to disclose, any nonpublic personal information about our consumers, customers or former customers to anyone, except as permitted by law. We may disclose nonpublic personal information about you, as a consumer, customer or former customer, to non-affiliated third parties as permitted by law.

We restrict access to nonpublic personal information about you to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal regulations to guard your nonpublic personal information.