Application – LB Real Estate LLC

Rental Application

Renter Information

Property Interested In:
Name:
Date of Birth:		Home phone
Cell:		Name and ages of children

Personal History

Present Address:		City/State/Zip
Landlord Name:		Phone:
Monthly Rent:		Dates:	From To

Previous Address:		City/State/Zip
Landlord Name:		Phone:
Monthly Rent:		Dates:	From To

Employment History

Present Employer:		Position:
Address:		City/State/Zip
Supervisor's Name:		Phone:
Gross Salary:		Dates:	From To

Previous Employer:		Position:
Address:		City/State/Zip
Supervisor's Name:		Phone:
Gross Salary:		Dates:	From To

Reference

Please list personal references: (Not Relatives)

Name:		Phone:
Address:		City/State/Zip
Years Acquainted:

Name:		Phone:
Address:		City/State/Zip
Years Acquainted:

Nearest Relative

Name:		Phone:
Address:		City/State/Zip
Relationship:

Type your initials:		Monday May 29th 2023
		Please check all information before submitting.