Par 4 Properties Rental Application ____________________________________________________________________________ Last Name First Name M.I. Spouse ____________________________________________________________________________ Social Security # Driver's Lic.# Birth Date Home Phone # ____________________________________________________________________________ Spouse Social Sec. # Driver's Lic. Birth Date ____________________________________________________________________________ email address (will not be shared with anyone) ____________________________________________________________________________ Current Address Apt.# City State Zip ____________________________________________________________________________ Date In Date Out Rent landlord's/apt complex name phone# ____________________________________________________________________________ Previous Address Apt.# City State Zip ____________________________________________________________________________ Date In Date Out Rent landlord's/apt complex name phone# ____________________________________________________________________________ Next Previous Address Apt.# City State Zip ____________________________________________________________________________ Date In Date Out Rent landlord's/apt complex name phone# ____________________________________________________________________________ Names & ages of other residents who will be living with you ____________________________________________________________________________ Emergency contact #1 - Name, address, phone number, reltationship ____________________________________________________________________________ Emergency contact #2 - Name, address, phone number, reltationship LIST ALL EMPLOYERS OR INCOME SOURCES: ____________________________________________________________________________ Employer/Source of Income Verification phone, work phone monthly income ___________________________________________________________________________ Employer/Source of Income Verification phone, work phone monthly income ____________________________________________________________________________ Employer/Source of Income Verification phone, work phone monthly income LIST ALL DEBT & MONTHLY PAYMENTS:___________________________________________ ____________________________________________________________________________