Received on

(date) at

(time)

TEXAS ASSOCIATION OF REALTORS®

RESIDENTIAL LEASE APPLICATION

USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS® IS NOT AUTHORIZED.

©Texas Association of REALTORS®, Inc. 2007

Each occupant and co-applicant 18 years or older must submit a separate application.

Property Address:

Security Deposit: $ ONE  MONTHS  RENT

Anticipated: Move-in Date:

Monthly Rent: $

Applicant was referred to Landlord by:

Real estate agent

(name)

(phone)

Newspaper

Sign

Internet

Other

Applicant’s name (first, middle, last)

Is there a co-applicant?

yes

no

If yes, co-applicant must submit a separate application.

Applicant’s former last name (maiden or married)

E-mail

Home Phone

Work

Phone

Mobile/Pager

Soc. Sec. No.

Driver License No.

in

(state)

Date of Birth

Height

Weight

Eye Color

Hair Color

Marital Status

Citizenship

(country)

Emergency Contact:

Name:

Address:

Phone:

E-mail:

Name all other persons who will occupy the Property:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Name:

Relationship:

Age:

Applicant’s

Current Address:

Apt. No.