Anita's Rentals -

Rental Application

Personal Information
Name		Unit Applying For
Email		Current Phone
Emergency/Parent Address		Emergency/Parent Phone
Birthdate		Major:.
WSU/Student Id		Drivers License No.
Type of Car		License No. and State
Pets? List All:

Rental References
	Most Recent	Previous
Address (include city, state and zip)
Move-in date
Move-out date
Monthly Rent
Landlord Name
Landlord Phone
I give Anita Hornback permission to access my WSU student housing record

Employment
Employer name, address and phone
Supervisor name
Salary/wage
If not employed, source of income for rent
Begin Date
Title

Declarations and Character Reference
Have you ever been evicted from tenancy?
Have you ever willfully and intensionally refused to pay rent when due?
Do you know of anything which may interrupt your ability to pay rent?
If yes to any of the above, please explain:
Please give name and phone of your character reference

Submit Application
By clicking on the submit button below, I hereby certify that the answers I have given in this application are true and correct to the best of my knowledge. I understand that any false answers of statements made by me will be sufficient grounds for eviction and loss of any security deposit.

(509) 332-8602 | anita@anitasrentals.com | 405 NW North St. Pullman, WA 99163