MINNESOTA RENTAL APPLICATION
(In the event of co-tenants, other than spouses, use separate sheet for each tenant. )
Date of
Name (legal):	Birth:	Social Security No.	
Date of
Name of Co-Tenant:	Birth:	Social Security No.	

Present Address:	Cell
Phone:	
Home
City / State / Zip:	Phone:	Business
Phone:	

How Long at Present Address:	Landlord or Agent:	Landlord
Phone:	
Previous Address:
How Long:	Landlord or Agent:	Landlord
Phone	

City / State / Zip:	Your email address	
Occupants:
Relationships & Their Ages:	Pets	

Car Make:	Year:	Model:	Color:	Car License No.	
OCCUPATION
	PRESENT OCCUPATION	PRIOR OCCUPATION	CO-TENANT’S OCCUPATION	
Occupation				
Employer				
Self-Employed, d.b.a.				
Business Address				
Business Phone				
Type of Business				
Position Held				
Name & Title of Supervisor				
How Long				
Monthly Gross Income				
If employed or self-employed less than two years, give the same information on prior occupation.
REFERENCES
Credit
Reference	Account
Number	Address	Highest
Amount Owed	Purpose of Credit	Account Open
Or Date Closed	

Personal Reference	Address	Phone	Length of Acquaintance	Occupation	
					
Nearest Relative	Address	Phone	City	Relationship	

Have you ever filed a petition of bankruptcy? 	Have you ever been evicted from any tenancy?   	 Have you ever willfully and intentionally refused to pay any rent when due?   	
I DECLARE THAT THE FOREGOING IS TRUE ND CORRECT, AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF A CREDIT REPORT, CRIMINAL BACKGROUND CHECK, LANDLORD REFERENCES AND EMPLOYMENT VERIFICATION.

I agree that landlord may terminate any agreement entered into in reliance on any misstatement made above.  DATED:   	

 	 Applicant 	Applicant

Brought to you by OpenDocs.com