Indiana Rental Application
This application is designed for prospective tenants in Indiana. Please fill out all sections completely. In accordance with Indiana state laws, the information provided will be used for screening purposes only.
Applicant Information
Full Name: ___________________________________________
Date of Birth: _________________________________________
Social Security Number: _______________________________
Phone Number: _________________________________________
Email Address: _________________________________________
Current Address
Street Address: ________________________________________
City: _________________________________________________
State: Indiana
Zip Code: ____________________________________________
Rental History
- Previous Address: ____________________________________
- Landlord's Name: _____________________________________
- Landlord's Phone Number: ___________________________
- Dates of Residency: _________________________________
Employment Information
Employer Name: ________________________________________
Position: _____________________________________________
Salary: ______________________________________________
Employer Phone Number: _______________________________
References
- Name: _______________________________________________
- Relationship: _______________________________________
- Phone Number: ______________________________________
Consent
By signing below, you authorize the landlord to conduct a background check and verify the information provided in this application.
Applicant Signature: _____________________________________
Date: _________________________________________________
Additional Information
Please list any additional information you believe is relevant to your application:
Comments: ______________________________________________
Application Fee
A non-refundable application fee of $_________ is required to process this application.
Thank you for your interest in renting with us. We look forward to reviewing your application!