Colorado Rental Application
This document serves as an application for rental housing in the State of Colorado.
It is designed to assist landlords in collecting necessary information to evaluate potential tenants in accordance with the Colorado Fair Housing Act.
Please answer all questions to the best of your ability. Providing false information may result in the rejection of this application or termination of lease.
Applicant Information
- Full Name: _______________________________________________
- Date of Birth: ___________________________________________
- Social Security Number: ___________________________________
- Phone Number: ____________________________________________
- Email Address: ___________________________________________
- Current Address: __________________________________________
- City: ______________________ State: ____ Zip Code: _________
Employment Information
- Current Employer: _________________________________________
- Employer Address: _________________________________________
- City: ______________________ State: ____ Zip Code: _________
- Job Title: ________________________________________________
- Supervisor's Name: ________________________________________
- Supervisor's Phone Number: ________________________________
- Monthly Gross Income: $____________________________________
Rental History
- Current Landlord's Name: ___________________________________
- Landlord's Phone Number: ___________________________________
- Current Rent Amount: $______________________________________
- Address of Current Rental: __________________________________
- Date Moved In: ____________________________________________
- Date Moved Out (If Applicable): ____________________________
- Reason for Leaving: ________________________________________
Additional Information
- Have you ever been evicted from a rental residence?
[ ] Yes [ ] No. If yes, please explain: _________________________
- Have you ever been convicted of a crime?
[ ] Yes [ ] No. If yes, please explain: _________________________
- Do you expect to have pets?
[ ] Yes [ ] No. If yes, please describe: _________________________
- Number of occupants: ________________________________________
- Vehicle Make/Model: _________________________________________
- License Plate Number: _______________________________________
By signing below, the applicant acknowledges that all information provided is true and accurate and authorizes the landlord or a representative to conduct a credit and background check.
The State of Colorado requires landlords to comply with state and federal anti-discrimination laws when reviewing rental applications. Any application fees must be documented and communicated upfront, and they are not refundable.
Applicant Signature: ___________________________________ Date: _______________