Forms



RENTAL APPLICATION

Landlord:

Garry Matthew Bird

3709 Tatonka DR

Killeen, Texas 76549

This Application is made to rent:

Room 1

3709 Tatonka DR

Killeen, TX 76549

for a term of Month.

Desired date of occupancy:______________15-18march 2009______________________

Desired length of occupancy:_________6mths_____________________________

No. of Bedrooms:______1______

Reason for moving:_____________________________________________

The monthly rent shall be $450.00 payable in advance.

APPLICANT INFORMATION

Name: ___________Jose Alfredo Ruiz

No. of occupants: Adults: __1___ Children: _____

Water bed: Yes _____ No _x____

Smokers: Yes _____ No __x___

Pets: Yes _____ No __x___

PRESENT ADDRESS: ____________was deployed for the year

How long at present address: __________________________

Home Phone No.: (____)_______________

Landlord's Name: ___________________________________________________

Phone No.: (____)____________

Current rent payment: ____________

PRIOR ADDRESS: ________2106 Caprice Dr Killeen Tx 76543

How long at prior address: _____________8mnths_______________

Landlord's Name: ___________trisha_________________________________________

Phone No.: (____)___i dont have number with me i can give to you when i return

Rent payment: _____700_______

Reason for moving: _________deploying__________________________________________

SOURCES OF INCOME:

Wages $__________

Salary $___2500mth_______

Commission $__________

Tips $__________

Gov't assistance $__________

Child support/Alimony $__________

Other $__________

CURRENT EMPLOYER:

Employer: _________Army____________________________________________

Position: ____mechanic________________ How long: _________4yr_________

Supervisor: _____SSG Lower_____________ Business Phone: (____)________

Annual Income: ________45000_________________________________________

Have you ever been evicted from any rental premises?

Yes ____ No __x__ If yes, please...