Tenant Rental-Lease Application Property: _________________________
Mail with $15 app fee to: The Full House PO Box 8248 Pittsburgh 15217
Contact: David at 412-606-3845
Use Separate Form for Each Applicant
I Applicant Information
Name ______________________email: ___________________________
Cell Phone _____________ Home ____________ Office ____________________
List all proposed occupants __________________________________________
Present Address_______________________________________________________
City/State/Zip __________________________________ How long? __________
Landlord or Agent ________________________ Phone ____________________
Current Rent ______________ Pets? (if yes, describe) ________________
Reason for Leaving ___________________________________________________
Previous Address _____________________________________________________
City/State/Zip __________________________________ How long? __________
Landlord or Agent _________________________ Phone ____________________
II Financial Information
Present Occupation Prior Occupation
Occupation_____________________________ _________________________
Employer_______________________________ _________________________
Self-employed, d.b.a. _____________________ _________________________
Business Address ________________________ _________________________
Business Phone _________________________ _________________________
Type of Business ________________________ _________________________
Position held ____________________________ _________________________
Name of Supervisor ______________________ _________________________
How long? ______________________________ _________________________
Monthly Gross Income ____________________ _________________________
Bank Balance on Deposit Year Opened
______________________ __________________ _______________
______________________ __________________ _______________
Credit Cards
Issuer Balance Owed Monthly Payment
______________ _________________ ______________
______________ _________________ ______________
______________ _________________ ______________
III Other Information
Personal Reference City & Phone Known Since Occupation
__________________ _______________ ____________ _______________
__________________ _______________ ____________ _______________
Relative/emergency contact Address Phone Relationship
_____________________ _____________________ ___________ _______________
_____________________ _____________________ ___________ _______________
Vehicle Make ______________ Model ______________ Year _________
Is this vehicle owned? ____ Owned w/ Payments? ____ Leased? ______
Name on Title: __________________________________
Have you ever filed a petition of bankruptcy? __________
Have you even been evicted from any tenancy or had an eviction notice served on you? ______
Have your ever willfully and intentionally refused to pay any rent when due? __________
Have your even been convicted of a misdemeanor or felony other than a traffic or parking
violation? __________
IV Authorizations
Credit Applicant hereby authorizes Landlord or its agent to perform a credit investigation and
obtain a credit report on Applicant. Applicant understands that the screen fee of $15.00 is
non-refundable. Applicant further agrees that the Landlord may terminate any agreement
entered into in reliance on any misstatement made above.
$10.00 fee Paid_________ (Landlord Initials)
______________________________Applicant Signature
Criminal Applicant hereby authorizes Landlord or its agent to perform a criminal records
investigation and obtain a criminal records report on Applicant.
______________________________Applicant Signature
Tenant also authorizes the Landlord to contact the persons named in this application to discuss
performance as a tenant.
Applicant Signature _______________________ Date _____________
Date of Birth _________________ SS# _____________ Id (DMV lic) _______________
Section 8 Applicants
Are you currently approved for Section 8 Assistance? __________________
How long have you been on Section 8 Assistance? __________________
How many different properties have you lived in during this time? _________________
How many bedrooms are you approved for? __________________
Application