Berks County, Pennsylvania Rental Application: Everything You Need to Know

RENTAL APPLICATION
State of Pennsylvania

PROPERTY INFORMATION:
Property Address: [PROPERTY ADDRESS], PA [ZIP]
Monthly Rent: $[AMOUNT]
Desired Move-In Date: [DATE]

APPLICANT INFORMATION:
Full Name: [APPLICANT NAME]
Date of Birth: [DOB]
Social Security Number: [SSN]
Driver's License: [DL NUMBER] State: PA
Phone: [PHONE]
Email: [EMAIL]

CURRENT RESIDENCE:
Address: [ADDRESS], PA [ZIP]
Landlord Name: [NAME]
Landlord Phone: [PHONE]
Monthly Rent: $[AMOUNT]
Dates of Tenancy: [START] to [END]
Reason for Leaving: [REASON]

EMPLOYMENT INFORMATION:
Employer: [EMPLOYER NAME]
Position: [JOB TITLE]
Monthly Income: $[AMOUNT]
Supervisor: [NAME]
Phone: [PHONE]
Length of Employment: [DURATION]

REFERENCES:
1. Name: [NAME] Phone: [PHONE] Relationship: [RELATIONSHIP]
2. Name: [NAME] Phone: [PHONE] Relationship: [RELATIONSHIP]

AUTHORIZATION:
I authorize the landlord to verify all information and obtain credit and background reports in accordance with Pennsylvania law (PA Statutes).

APPLICANT SIGNATURE: _____________________ DATE: _____