Indiana Rental Application - Form - Personal Information - Rental History - Income - Emergency Contact - Vehicles - Agreement & Signature

Sep 19, 2026

Upload by Fahsai

Indiana Rental Application form for collecting applicant details required for housing consideration. Captures personal information, roommates or other occupants, rental history across recent addresses, and employment and income sources for up to five years. Includes emergency contact information, vehicle details, and disclosures such as eviction, felony convictions, bankruptcy, smoking, and pets. Ends with applicant agreement language authorizing credit/criminal checks and processing fees, plus co-signer authorization and signatures.

LanguageEnglish

CategoryForms

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Personal Information

Roommates / Other Occupants

Rental History

Income

Emergency Contact Information

Vehicles

Other Information

Agreement & Signature

Indiana Rental Application PROPERTY APPLYING FOR: Personal Information Full Name Birth Date Social Security \# Driver’s License \# / State Phone \# Email Roommates / Other Occupants | Full Name-First, Middle, Last | Birth Date | Relationship to You | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | Rental History Please list your three most recent addresses or from past five years. | | Current Address | Previous Address | Previous Address | | --- | --- | --- | --- | | Street Address / Unit No. | | | | | City, State, Zip | | | | | How long at this address | | | | | Manager/Owner Name | | | | | Manager/Owner Phone | | | | Income Please list employment from past five years & other sources of income. Employment History | | Current Employer | Previous Employer | Previous Employer | | --- | --- | --- | --- | | Employed by | | | | | Position | | | | | Dates of Employment (From..To) | | | | | Monthly Income | | | | | Name of Supervisor | | | | | Supervisor’s Phone \# | | | | | Address-Street, City, State, Zip | | | | Other Income Sources | Type | Monthly Income | Name of Provider | Address-Street, City, State, Zip | Phone \# | | --- | --- | --- | --- | --- | | | | | | | | | | | | | Emergency Contact Information Name Phone \# Relationship Address-Street, City, State, Zip Vehicles | Make & Model | Year | Color | Plate \# | State | | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | Other Information Have you ever been evicted? Yes No If yes, when & why Have you ever been convicted of a felony? Yes No If yes, when & why Have you ever filed for bankruptcy? Yes No If yes, when & why Do you currently smoke? Yes No Do you have any pets? Yes No If Yes, please list each Type, Breed & Approx. Weight How did you learn about us? Agreement & Signature I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund. Signature: Date: CO-SIGNER By signing this form, Co-signer authorizes the landlord to perform a credit check or background check, if necessary. Co-signer forms are accepted at the landlord’s discretion, and a co-signer form does not in any way guarantee an applicant a rental unit. Failure to fully complete a requested co-signer form may result in the landlord refusing a rental application. Personal Information Full Name Birth Date Social Security \# Driver’s License \# / State Phone \# Email ________________ _____________ ____________________ Current Employer Name / Phone \# Co-signing for Full Name Unit Applied for It is hereby agreed that the aforementioned Co-signer will assume any and all responsibilities and/or obligations of the Leaseholder’s share of expenses if the Leaseholder cannot or will not oblige. This Co-signer Agreement will remain in force throughout the entire term of the Leaseholder’s tenancy, even if the tenancy is extended and/or changed in its terms. Signature: Date:

FAQs

What information is required under Personal Information?

Full name, birth date, Social Security number, driver’s license number and state, phone number, and email are required.

How does the form ask for Rental History and Income?

Rental history requests your three most recent addresses or those within the past five years. Income requests employment from the past five years plus other income sources.

What authorizations and terms are included in the Agreement & Signature section?

The applicant authorizes credit and/or criminal checks and verification of information, acknowledges that discrepancies may lead to rejection, and confirms the application is not a lease or rental agreement. It also states a non-refundable processing fee and includes co-signer authorization where applicable.

Sep 19, 2026

Upload by Fahsai