Rental Application for properties in Brownstown, IN

Brightside Home that you are interested in renting:*

How did you hear about us?

Personal Information

Full Name*

Phone Number*

Email

Date of Birth*

Address

Current Address*

Street Address City State ZIP Code

Is your current address rental or owned?*

Rent
Own
Others

Where you lived before?

How long have you lived in this house?*

Monthly payment amount*

Landlord Name*

Landlord phone number*

Previous Address*

Street Address City State ZIP Code

Was that address rental or owned or other?*

Rent
Own
Others

How long did you live in this house?*

Monthly payment amount*

Landlord Name*

Landlord phone number*

How long have you lived in this house?*

Monthly Payment Amount*

Reason for moving to rental property*

Previous Address*

Street Address City State ZIP Code

Was that address rental or owned or other?*

Rent
Own
Others

How long have you lived in this house?*

Monthly Payment Amount*

How long have you lived in this house?*

Whose house is it?*

Employment

Current employer / Mode of Income*

Average income per week*

How long have you been employed by this employer?

Previous Employer*

Average income per week*

How long were you employed by this employer?*

Other Information

Do you smoke?*

Yes
No

Any criminal history

Please elaborate, if any.

Occupants

How many children (17 years of age and under) ?*

1) Full Name*

Age*

Relationship*

2) Full Name*

Age*

Relationship*

3) Full Name*

Age*

Relationship*

4) Full Name*

Age*

Relationship*

5) Full Name*

Age*

Relationship*

6) Full Name*

Age*

Relationship*

7) Full Name*

Age*

Relationship*

8) Full Name*

Age*

Relationship*

9) Full Name*

Age*

Relationship*

10) Full Name*

Age*

Relationship*

Will there be any other adults (18 years of age and older) living with you?*

Yes
No

How many other adults?

1) Full Name*

Relationship with the applicant*

Phone #

Email

Age*

Current employer / Mode of Income*

Average income per week

Current address*

Same as primary applicant
Different from primary applicant

Current Address*

Street Address City State ZIP Code

Is your current address rental or owned?*

Rent
Own

How long have you lived in this house?*

Rental Amount*

Landlord's Name*

Landlord's phone number

Does this occupant smoke?

Yes
No

Any criminal history

Please elaborate, if any.

Monthly Payment Amount*

Reason for moving to rental property*

2) Full Name*

Relationship with the applicant*

Phone #

Email

Age*

Current employer / Mode of Income*

Average income per week

How long have you been employed by this employer?

Current address*

Same as primary applicant
Different from primary applicant

Current Address*

Street Address City State ZIP Code

Is your current address rental or owned?*

Rent
Own

How long have you lived in this house?*

Rental Amount*

Landlord's Name*

Landlord's phone number

Does this occupant smoke?

Yes
No

Any criminal history

Please elaborate, if any.

Monthly Payment Amount*

Reason for moving to rental property*

3) Full Name*

Relationship with the applicant*

Phone #

Email

Age*

Current employer / Mode of Income*

Average income per week

How long have you been employed by this employer?

Current address*

Same as primary applicant
Different from primary applicant

Current Address*

Street Address City State ZIP Code

Is your current address rental or owned?*

Rent
Own

How long have you lived at this house?*

Rental Amount*

Landlord's Name*

Landlord's phone number

Does this occupant smoke?

Yes
No

Any criminal history

Please elaborate, if any.

Monthly Payment Amount*

Reason for moving to rental property*

4) Full Name*

Relationship with the applicant*

Phone #

Email

Age*

Current employer / Mode of Income*

Average income per week

How long have you been employed by this employer?

Current address*

Same as primary applicant
Different from primary applicant

Current Address*

Street Address City State ZIP Code

Is your current address rental or owned?*

Rent
Own

How long have you lived at this house?*

Rental Amount*

Landlord's Name*

Landlord's phone number

Does this occupant smoke?

Yes
No

Any criminal history

Please elaborate, if any.

Monthly Payment Amount*

Reason for moving to rental property*

How many people will occupy the house part time?*

1) Full Name*

Age*

Relationship*

Describe the arrangement for part time occupants*

2) Full Name*

Age*

Relationship*