417-866-1533  office	  Redbird Realty Rental Application   417-866-1534  fax  
                     1700 W. College; Springfield, Missouri
                   email to :   tim  at  redbirdrealty  dot  net   

Date of application: ____/____/____          Desired move in date: _____________
Address Applying for:  __________________________________ 
----------------------------------Personal Data--------------------------------------- 

Tenant:  _____________________________SS# _____-___-____ DOB ___/___/___DL#___________
CoTenant :____________________________SS# _____-___-____ DOB ___/___/___DL#___________  
Present Address : ______________________________________________Present Rent $________ 
City\State\Zip _______________________Res Phone# ___________ ___Bus Phone ____________
How Long at present address? ____ Landlord\Agent ___________________Phone# ___________
City\State\Zip : _____________________________________________________________________
Occupants : ___________________________________________ Animals: _____________________
Car Make: ___________________ Year:_____________ License# ____________________________
Car Make: ___________________ Year:_____________ License# ____________________________

-----------------------------------OCCUPATION-----------------------------------------
             PRESENT                PRIOR                CO-TENNANT
            OCCUPATION              OCCUPATION           OCCUPATION
OCCUPATION______________________|___________________|_________________________________
EMPLOYER  ______________________|___________________|_________________________________
SELF     
EMPLOYED DBA____________________|___________________|_________________________________
BUS ADDRESS_____________________|___________________|_________________________________
BUS PHONE ______________________|___________________|_________________________________
TYPE OF BUS_____________________|___________________|_________________________________
POSITION  ______________________|___________________|_________________________________
SUPERIOR  ______________________|___________________|_________________________________
HOW LONG  ______________________|___________________|_________________________________
MONTHLY GROSS___________________|___________________|_________________________________
OTHER INCOME____________________|___________________|_________________________________
Email Address 1: _____________________________Email Address 2: _______________________
Emergency contact : __________________________Relation: _______Phone: ________________

----------------------------------REFERENCES------------------------------------------
   CREDIT        ACCOUNT#      ADDRESS   HIGHEST      PURPOSE        ACCOUNT OPEN
   REFERENCE                             BALANCE      OF CREDIT      OR DATE CLOSED
--------------------------------------------------------------------------------------
_____________|______________|___________|__________|_____________|____________________
_____________|______________|___________|__________|_____________|____________________
---PERSONAL------------------ADDRESS------PHONE------LENGTH----------OCCUPATION
____________________________|___________|__________|_____________|____________________
____________________________|___________|__________|_____________|____________________
____________________________|___________|__________|_____________|____________________

---NEAREST RELATIVE------------ADDRESS------PHONE-------CITY----------RELATIONSHIP
____________________________|___________|__________|_____________|____________________
____________________________|___________|__________|_____________|____________________
Have you ever filed bankruptcy? _______
Have you ever been evicted or had notice serverd on you?_______
Have you ever willingly or intentionally refused to pay rent on time? ________
I DECLARE THAT THE FOREGOING IS TRUE AND CORRECT. I AUTHORIZE ITS VERIFICATION AND 
THE OBTAINING OF A CREDIT REPORT. 
I agree that the landlord may terminate any agreement ienterd into in reliance 
of any misstatement made above.
Applicant ________________________________________  Date: ______________
Applicant ________________________________________  Date: ______________