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Each individual wishing to reside at this property must complete this application.

Property address Number of occupants*

* Total number of occupants who will live in the unit, including children

First Name Last Name Phone Date of Birth Social Security # Drivers License #

Name Date of Birth

Parent Name Phone Address City State Zip County

First Name First Name Date of Birth Relationship

First Name First Name Date of Birth Relationship

First Name First Name Date of Birth Relationship

First Name First Name Date of Birth Relationship

Street Address Suite/Apt City State County Zip Rent Landlord Landlord Phone Reason for leaving

Street Address Suite/Apt City State County Zip Rent Landlord Landlord Phone Move-in Date Move-out Date Reason for leaving

Street Address Suite/Apt City State County Zip Rent Landlord Landlord Phone Move-in Date Move-out Date Reason for leaving

Street Address Suite/Apt City State County Zip Rent Landlord Landlord Phone Move-in Date Move-out Date Reason for leaving

Employer Name Position Supervisor Phone Start Date Monthly Income After Taxes

Employer Name Position Supervisor Phone Start Date Monthly Income After Taxes

Name Address Work Phone Mobile Phone

Have you ever been sued for non payment of rent?

Have you ever been evicted or asked to move out?

Have you ever declared bankruptcy?

Have you ever broken a lease or rental agreement?

Have you ever been registered as a sex offender?

Have you ever been arrested or convicted of a crime?

Have you ever had a no-trespass order or order of protection filed againsst you?

I hereby attest that the above information is true and give Compton Rentals permission to verify all information on this application.

Name Date

Type the letters shown above