Property Professionals of Bemidji - Rental Application
602 Beltrami Ave Bemidji, MN 56601 218-759-1900   FAX: 218-751-4676   EMAIL: info@rentinbemidji.com   Website: www.rentinbemidji.com

1st Applicant FULL LEGAL Name:
 2nd Applicant FULL LEGAL Name:
Former or maiden name:
 Former or maiden name:
Social Security #:
 Date of Birth:
Phone #:
 Social Security #:
 Date of Birth:
Phone #:
Email:
 Email:

List All Persons To Occupy Dwelling, Including Yourself:

Name Relationship Age Name Relationship Age

Applying For Apt/ House/MH:
 Price Range:
 # of Bedrooms:
Address of Unit Interested In:
Describe Any Pets:
 Date Needed By:
 Any Other Needs:

Current Address:
Street Address:
 City:
 State:
 Zip:
 Phone:
 Rent:
Own:
Family:
Landlord:
 Reason for leaving:
 Phone:
 How Long?
 Dates of renting:
 Rent Amnt:

Previous Address:
Street Address:
 City:
 State:
 Zip:
 Dates of renting:
 Phone:
 Rent:
Own:
Family:
Landlord:
 Reason for leaving:
 City:
 State:
 Phone:
 How Long?
 Rent Amnt:

Employment:
Employer:
 Address:
 Phone #:
 Date Hired:
 Job Title:
 Earned income per month:
Second Applicant Employer:
 Address:
 Phone #:
 Date Hired:
 Job Title:
 Earned income per month:
Other Income: Source:
Amount per month:
 Are you a Student?
Yes No

If so, Where?

Grade Level:

Have You Ever?
 
Been Evicted?:
Yes No 		Refused to Pay Rent?
Yes No 		Filed Bankruptcy?:
Yes No 		Been convicted of a Felony?:
Yes No
If so, please explain:
How did you hear about us? (Newspaper, online, our website: rentinbemidji.com, friend, current tenant, other)

Personal References
Name Address City State Zip Phone Relationship

In Case of Emergency Notify:
Name:
 Address:
 City:
 State:
 Zip:
 Phone:
 Relationship:

Vehicles
Type:
 Year:
 License #:
 Type:
 Year
 License #



Authorization:

By signing below, I do hereby authorize Property Professionals and it's affiliates to make credit inquiries, verify employment, previous rental history, criminal background & other references necessary to approve or deny this application. I understand that should I lease or co-sign to lease property managed by Property Professionals and I fail to pay rent, fulfill terms of the Lease Agreement or my tenancy results in eviction or litigation, adverse credit reports may be filed with credit reporting agencies. I also declare that, under penalty of perjury, all parts of this application and updates to information on this application I give during the year are true and correct statements, to the best of my knowledge, including identity of all persons under the age of 18 listed on this application. Failure to disclose any facts or truths could lead to a denial of application.
Incomplete applications will not be accepted.
Date (mm/dd/yyyy):
Identification Type:
 #:
 State Issued:
 Expiration:

If Printing Please Sign Below

1st Applicant x______________________________________________

2nd Applicant x______________________________________________