Rental Application
Jade Meredith
jadem@tgrealestateco.com

TG Real Estate Co
816-361-0267
RENTAL APPLICATION
Prospective Rental Address
Applicant Name
DOB
Other Names Used
SSN
Description
Drivers License#
Pet(s)
State

Filed for Bankruptcy?
Cell Phone
Home Phone
Total Occupants
Names & Ages of Occupants (List)
Have You Ever: Been Convicted of a Criminal Offense?
Ever Been Evicted
EMERGENCY CONTACT
Phone #
Name of Nearest Relative/Contact

Address, City, State, Zip
Relationship
RESIDENT HISTORY
Current Address, City, State, Zip
Moved in Date
Monthly Payment
Landlord Name
Landlord Phone #
Former Address, City, State, Zip
Moved out Date
Moved in Date
Monthly Payment
Landlord Name
Landlord Phone #
Former Address, City, State, Zip
Moved out Date
Moved in Date
Monthly Payment
Landlord Name
Landlord Phone #
EMPLOYMENT HISTORY
Phone #
Current Employer
Address,City,State,Zip
Monthly Salary

Start Date

Position
Phone #
Previous Employer
Address,City,State,Zip
Monthly Salary

Start Date

End Date
Position
Credit Reference1
Account #

Date Account Closed

Highest Amount Owed
Purpose of Credit
Credit Reference2
Account #

Date Account Closed

Highest Amount Owed
Purpose of Credit
Additional Notes:
Application Complete by::
Applicant/Co-Applicant certify that the information provided herein is true and that any false information knowingly
provided is subject to the penaly of perjury. Applicant/Co-Applicant herby authorize the landlord and/or agents to
verify the information and obtain credit reports, criminal background, unlawful detainer, prior eviction information,
past tenancy report and employment verification through ACRAnet. Applicant/Co-Applicant understand that a
NON-REFUNDABLE SCREENING FEE OF $30 will be paid to the landlord/agent at the time the application is submitted.