Tenancy Application

Please Print Clearly. Date:___________

Applicants Name: Last: __________________ First: ________________ MI: ______ Phone: ___________

Present Address: Street: _________________________________ City: ______________ State: _______ Zip: ________

How Long at the Above Address? ________________________________

Name and Address of Present or Past Landlord: __________________________________ Phone: _______________

Present Employer: ___________________ Address: ______________________________ Phone: _______________

Occupation: ______________ # Hours Worked Per Week: ________ Date of Last Hire: ____________ Wages: ___________

Persons to Occupy the Residence: __________________________ # of Adults: ___________ # of Children: ___________

Vehicle(s) Make: _____________________ License #: ____________________ State: ____________

Vehicle(s) Make: _____________________ License #: ____________________ State: ____________

Do You Have Any Pets? _________ Number of Pets: ________ Kind of Pets: ______________________________

Are You or Anyone Occupying the House a Smoker: _______________________

Credit References

Name: ______________________________ Address: _________________________________ Phone: _______________

Name: ______________________________ Address: _________________________________ Phone: _______________

Name: ______________________________ Address: _________________________________ Phone: _______________

Personal References (No Relatives)

Name: ______________________________ Address: _________________________________ Phone: _______________

Name: ______________________________ Address: _________________________________ Phone: _______________

Name: ______________________________ Address: _________________________________ Phone: _______________

Nearest Relative Not Living With You

Name: ______________________________ Address: _________________________________ Phone: _______________

In Case of Emergency

Name: ______________________________ Address: _________________________________ Phone: _______________

State: ______________ Zip: _____________ Relationship: ____________________________

Applicant's Signature: _____________________________________________________________________________

Co-Applicant's Signature: __________________________________________________________________________

Landlord: Peninsula Evangelical Methodist Church

Please Mail the above Application to:

Peninsula Evangelical Methodist Church

Attention: Rental App

2403 W Texas St

Moses Lake, WA 98837