Louisiana Rental Application Template
This document serves as an application for rental property in the State of Louisiana. It is designed to assist landlords in gathering necessary information to evaluate potential tenants in accordance with the Louisiana Residential Landlord and Tenant Act. Applicants are advised to provide accurate and complete information to facilitate a thorough assessment of their rental application.
Applicant Information
- Full Name: ___________________________
- Date of Birth: ________________________
- Social Security Number: ________________
- Phone Number: _________________________
- Email Address: ________________________
- Current Address: ______________________
- City: ________________________________
- State: _______________________________
- Zip Code: ____________________________
Rental History
- Current Landlord's Name: _______________________________
- Current Landlord's Phone Number: ________________________
- Previous Address: ______________________________________
- Previous Landlord's Name: ______________________________
- Previous Landlord's Phone Number: ________________________
Employment Information
- Employer Name: ____________________________
- Employer Address: _________________________
- Employer Phone Number: ____________________
- Position: ________________________________
- Annual Income: ___________________________
- Start Date: _______________________________
By signing this application, I authorize the verification of the information provided on this form as to my credit and employment. I understand that false or incomplete information may result in the denial of my application.
Applicant Signature: _______________________________ Date: _______________
This application does not constitute a rental or lease agreement in whole or part. Any offer of a rental unit is subject to the execution of a definitive lease agreement, the terms of which are subject to change.