Rental Application

Sims Contracting Company

We handle ALL phases of construction

Rental Application

Please complete the following fields to submit your application

Name*

Email Address*

Phone Number*

Property Location*

Name of dependent(s) residing with you*

Present Address (include City, State & Zip)*

Present Landlord Name *

Present Landlord Phone Number*

Previous Address (if less than 2 years at present)*

Previous Landlord Name & Phone Number*

Current Employer Name & Position*

Current Supervisor Name*

Current Supervisor Phone Number*

Salary*

Other Sources of Income

Student LoansPension BenefitsSocial SecurityOther

If you selected any other sources of income, list the monthly amount below

If you selected any other sources of income, provide contact person & phone number that can verify this amount

Personal Reference 1 - Name*

Personal Reference 1 - Phone Number*

Personal Reference 2 - Name*

Personal Reference 2 - Phone Number*

Have you ever been evicted?*

YesNo

If Yes, Please explain

Please type your first and last name to confirm the statement below*

I certify that the information submitted in this application is true and correct to the best of my knowledge. I further understand that any false statements may result in denial of my application.

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