Rental Application

Applicant Information

• Full Name *
• Email *
• Date of birth *
• SSN *
• Delivery State *
• Delivery City *
• Delivery address *
• Apartment Community *
• Phone *
• ZIP Code *
• Requested Delivery Date *
• Requested Lease Length *
• Additional Notes *
• Previous Address *
• Previous State *
• Previous City *
• ZIP Code *

 

Employment Information

• Current employer *
• Employer address *
• City *
• State *
• ZIP code *
• How long? *
• Position *
• Phone *
• Annual income (approx) *
• Hourly salary (please circle) *

 

Emergency Contact

• Name of a person not residing with you *
• Address *
• City *
• State *
• ZIP Code *
• Phone *
• Email *
• Relationship *

 

How did you hear about us?

• by
  Apartment Community ReferralEmployer ReferralPersonal ReferralWebsiteFlyerRental GuideCraigslist
• other option

 

Authorization

• Checkbox for authorization *
  I authorize the verification of the information provided on this form as to my credit and employment. I authorize EZ Furniture Rental to contact my emergency contact as necessary. I hereby certify that I am eighteen years of age or older. I have received a copy of this application.

 

Signature

• Printed Name *
• Date *

 

Verification

• Please enter any two digits *Example: 12 or 56. (Any two digits)
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