Louisiana Rental Application
This Louisiana Rental Application is intended to be used by landlords within the state of Louisiana to gather necessary information from potential tenants. This document is in compliance with the relevant state laws, including the Louisiana Fair Housing Act, ensuring that the application process is conducted fairly and without discrimination.
Please complete all sections of this application to the best of your ability. Incomplete applications may not be considered.
Applicant Information
Full Name: ____________
Date of Birth: ____________
SSN: ____________
Phone Number: ____________
Email Address: ____________
Current Address: ____________
City: ____________
State: ____________
Zip Code: ____________
Employment Information
Current Employer: ____________
Employer Address: ____________
City: ____________
State: ____________
Zip Code: ____________
Position: ____________
Length of Employment: ____________
Monthly Income: ____________
Supervisor’s Name: ____________
Supervisor's Phone Number: ____________
Residential History
- Previous Address: ____________
- City: ____________
- State: ____________
- Zip Code: ____________
- Length of Stay: ____________
- Landlord's Name: ____________
- Landlord's Phone Number: ____________
References
- Name: ____________
- Relationship: ____________
- Phone Number: ____________
- Email Address: ____________
Additional Information
Do you have pets? Yes / No
If yes, please describe: ____________
Number of intended occupants: ____________
Vehicles (Make/Model/Year): ____________
Authorization
By signing below, the applicant authorizes the landlord to conduct a comprehensive review, which may include but is not limited to, a credit check, a criminal background check, and verification of employment and residential history. The applicant also agrees to provide additional documentation upon request.
Applicant's Signature: ____________
Date: ____________
Landlord Use Only
Application Received By: ____________
Date: ____________
Application Fee Received: Yes / No
Amount: ____________