SUBURBAN RENTAL APPLICATION

APPLICANTS MUST BE OVER 18 YEARS OF AGE  Please remit to Suburban Realty 4803 Spenard. Rd., Anchorage, AK 99517 248-3606 along with the appropriate application fee.  $25.00 each applicant  or $40.00 for a married couple.  Please fill out one application for each applicant OVER 18 years of age.

1.Personal Information

Full Name:

Address:

State:                          Zip :

Hm Phone:                            Wk Phone:

SSN:

DOB:

ADL#:

2.Employment Information

Employer:

Length of employment:

Address:

Supervisor:                                                              Ph#:

Salary:

Other Income:

3.Landlord Information

Current Landlord:

Landlord Phone:

Address: State:                                                             Zip:

Reason moved:

4.Miscellaneous Information (Circle either yes or no)

Are you a smoker?

YES

NO

Have you ever been evicted? (If yes explain on back)

YES 

NO

Do you own a pet?

YES

NO

5.Next of kin Information

Name

Hm Phone:

Wk Phone:

Address

State: Zip:

6.Additional Occupants UNDER THE AGE OF 19

Full Name:

Full Name:

Full Name:

AGE:

Age:

Age:

I, the undersigned, authorize any person or company listed above to give any and all pertinent information to Suburban Realty at their request. Additionally, I authorize Suburban Realty to obtain credit information from the credit bureaus. 

  DISCLOSURE OF CONFLICT OF INTEREST

  Suburban Realty represents the OWNER,  a licencee with Suburban Realty 

Signature:                                                                          

Date____ Approved__ Not Approved__ Apt#__ Bldg________ Rent______ Deposit_____

PREVIOUS RENTAL HISTORY

From

To

Address

Landlord

Address

Ph#

From

To

Address

Landlord

Address

Ph#

From

To

Address

Landlord

Address

Ph#

Eviction Explanation

A.____________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

B.____________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

ID INFORMATION (copy of driver's license)

 

rev.12/11/09