Alaska Rental Application Form

Through the information reflected in this form, Alaska-based landlords will be able to review a prospective tenant’s income and credit history. This can serve as a landlord’s basis in accepting or rejecting lease applications.

Extracted Text for Proper Search

RENTAL APPLICATION	 
 	
 
Today’s Date                                                                       D\
ate of anticipated move in                                                  
Property address                                                                        \
                                                                                        
Monthly rent                                                  	
   Security deposit                                                Pet  deposit                         	

 
Applicant 
Full name of applicant                                                                        \
                                                                              
Present Address                                                                        \
                                                                                        
Telephone number (home)                                                                        \
         	
    (work)                                                    	

D.O.B.                                        	
 social security #                                         Driver’s license                                               	

 
Applicant’s employment  
Name of present employer                                                                        \
                                                                         
Address                                                                        \
                                                                                                     
Position                                                               	
 Date started                               Monthly income                                      	

Supervisor’s name                                                                        \
     	
    phone                                                                     	

Name of previous employer                                                                        \
                                                                         
Address                                                                        \
                                                                                                     
Position                                                               	
 Date started                               Monthly income                                      
Supervisor’s name                                                                        \
         phone                                                                      
Other sources of income                                                                        \
                                                                            
 
Spouse  
Full name of spouse                                                                        \
                                                                              
Present Address                                                                        \
                                                                                        
Telephone number (home)                                                                        \
             (work)                                                    
D.O.B.                                          social security #                                        Driver’s license                                               
 
Spouse’s employment  
Name of present employer                                                                        \
                                                                        
Address                                                                        \
                                                                                                     
Position                                                                 Date started                              Monthly income                                      
Supervisor’s name                                                                        \
         phone                                                                      
Name of previous employer                                                                        \
                                                                        
Address                                                                        \
                                                                                                     
Position                                                                 Date started                              Mo nthly income                                     
Supervisor’s name                                                                        \
         phone                                                                      
Other sources of income                                                                        \
                                                                           
 
Present Landlord or mortgage company  
Present Landlord or mortgage company  
Telephone number (home)                                                                        \
            (work)  
Monthly rent or mortgage payment                                 Date of move-in                               Date of move-out

Previous Landlord or mortgage company  
Previous Landlord or mortgage company  
Telephone number (home)                                                                        \
        	
    (work)  	

Monthly rent or mortgage payment                               	
  Date of move-in                               Date of move-out                    	

 
Personal References 
Name                                                                        \
                              	
  phone                                                                   	

Address                                                                        \
                                                                                                        
Name                                                                        \
                              	
  phone                                                                    	

Address                                                                        \
                                                                                                        
 
Emergency 
In case of emergency contact                                                                        \
                                                                        
Relationship                                                                        \
        	
   phone                                                                               	

 
Occupants  
List all occupants                                                                        \
                                                                                            
 
Pets 
List any pets:  type                             	
  breed                                               weight                    age                                          	

List any pets:  type                             	
  breed                                               weight                    age                                          	

 
Vehicles  
List vehicles to be parked at premises:                                                                            \
                                                     
                                                             make                                        model                                  year 
 
                                                             make                                        model                                  year 
 
Credit/Criminal History 
Bank name                                                                           \
               	
   phone                                         	

Address                                                                        \
                                                                                                         
Checking account number                                                                        \
                                                                             
 
List all credit obligations with minimum monthly payment:                                                                                                  
                                                                        \
                                                                                                                         
                                                                        \
                                                                                                                       
 
Have any of the occupants listed above ever been:  convicted of a felony?                       	
    r eceived deferred adjudication for a 	

felony?                                    	
  been evicted?                          broken a lease?                         declared bankruptcy?                       	

The above listed applicant declares that all statements made in this application are true and complete.  Applicant hereby 
authorizes the National Association of Independent Landlords to verify all of the information in this application and obtain 
credit reports on the above listed applicant and/or applicant’s.  If applicant or applicant’s spouse has given any false 
information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord’ s 
time and expenses in processing this application.  Applicant shall give Landlord a nonrefundable application fee in the amount 
of  $                                . 
 
 
Signature of applicant	                                                                        \
                    	     	Date  	
 
Signature of Spouse                                                                       \
                                  
     Dat e 

 
Signature of Landlord or Landlord’s agent                                                                      
     Date