P & W Investments Rental Application

RENTAL APPLICATION
Name:
Phone Number: - -
Desired Date of Occupancy:
No of Occupants Adults::	Children::
Desired Length of Occupancy: Years	Smoker?: Yes No	Pets?: Yes No

RESIDENCE HISTORY
Present Address:	Dates From:	To:
Landlord Name::		Phone: - -

Previous Address:	Dates From:	To:
Landlord Name::		Phone: - -

EMPLOYMENT
Present Employer:	Superviser:
Address:	Phone Number: - -
Position:	How Long:

Previous Employer:	Superviser:
Address:	Phone Number: - -
Position:	How Long:

BANK REFERENCE
Bank:	Phone Number: - -
Address:	Type of Account:

Bank:	Phone Number: - -
Address:	Type of Account:

REFERENCES
Reference:	Phone Number: - -
Address:	Relation:

Reference:	Phone Number: - -
Address:	Type of Relation:

IN CASE OF EMERGENCY, NOTIFY
Name:	Phone Number: - -
Address:	Relation:

By clicking "Submit Application," I certify that the above is true to the best of my knowledge and that I am the person who will reside in the residence. I agree to authorize P & W Investments to investigate any personal, financial, and credit records, through investigative or credit checking means of the landlord's choice, for the purpose of determining my acceptability to rent from them.