Indiana Rental Application
This application is intended to collect relevant information required to process your rental application in accordance with Indiana state laws.
Applicant Information
Please fill out the following details:
- Full Name: _________________________________
- Social Security Number: __________________________
- Date of Birth: _________________________________
- Current Address: ________________________________
- City: ________________________
- State: Indiana
- Zip Code: ____________
- Email Address: _________________________________
- Phone Number: ________________________________
Rental History
Provide your rental history for the past three years:
- Previous Address: ________________________________
- Landlord's Name: ________________________________
- Landlord's Phone Number: ________________________
- Duration of Tenancy: _____________________________
Employment Information
List your current employment details:
- Employer Name: _________________________________
- Job Title: ___________________________________
- Salary: ____________________________
- Supervisor Name: ___________________________
- Supervisor Phone: ___________________________
References
Please provide two personal references:
- Reference Name: _________________________________
- Relationship: __________________________________
- Phone Number: ________________________________
- Reference Name: _________________________________
- Relationship: __________________________________
- Phone Number: ________________________________
Consent
By submitting this application, you authorize the landlord to verify all information provided, including conducting a background check in accordance with Indiana laws.
Signature: ________________________ Date: _______________