Mississippi Rental Application
This Rental Application is designed to assist landlords in screening potential tenants in accordance with Mississippi state laws. By completing this application, you are providing essential information that may be used to evaluate your suitability as a tenant.
Please fill out the information below:
- Applicant's Full Name: _____________________________
- Current Address: _________________________________
- City: ______________________
- State: Mississippi
- ZIP Code: _______________
- Email Address: _________________________________
- Phone Number: _________________________________
Property Information:
- Address of Rental Property: _____________________________
- Desired Move-in Date: _____________________________
Employment Information:
- Employer Name: _________________________________
- Job Title: _________________________________
- Employment Address: _________________________________
- City: ______________________
- Phone Number: _________________________________
- Monthly Income: _________________________________
Rental History:
- Previous Address: ________________________________
- City: ______________________
- State: ______________________
- Landlord's Name: _________________________________
- Landlord's Phone Number: _________________________________
- Duration of Stay: _________________________________
References:
- Personal Reference Name: _______________________________
- Relationship: _________________________________
- Phone Number: _________________________________
Please read carefully before signing. A non-refundable application fee may apply. By signing below, you certify that the information provided is true and correct to the best of your knowledge.
Signature: _____________________________
Date: _____________________________