Apply Now – Sunrise TV Rentals

Application

APPLICANT INFORMATION
WHAT ITEM(S) ARE YOU LOOKING FOR?
Leasee Full Name*
Date of Birth*
MM
DD
YYYY
Social Security #*
Driver's license #*
State*
Address*
Street Address Address Line 2 City State ZIP Code
How Long?*
Home Phone*
Cell Phone*
Email
In Whose Name are Telephone/Utilities?*
Landlord/Mortgage Co*
Landlord's Address*
Street Address Address Line 2 City State ZIP Code
Landlords Phone*
Monthly Payment*
In Whose name is the Lease/Length of Lease*
Previous Address (if less than 3 years)
Street Address Address Line 2 City State ZIP Code
How Long?
Previous Landlord’s Name
Previous Landlord’s Phone
Auto Make and Model
Year
Color
License Plate Number
State
Bank Name/Location*
I Have a Checking Account*
- Yes
- No
I Have A Savings Account*
- Yes
- No
Employer or Source of Income*
Job Title/Position*
Amount of Income*
How Paid?*
Employer's Address
Street Address Address Line 2 City State ZIP Code
Supervisor’s Name*
First Last
Supervisor’s Phone*
Shift/Hours*
Hire Date*
Date Format: MM slash DD slash YYYY
PERSONAL REFERENCES
*Must have Separate Addresses and Phone Numbers
Relitive Name*
First Last
Relative Address*
Street Address Address Line 2 City State ZIP Code
Relative Phone*
Relationship*
Relative Name*
First Last
Relative Address*
Street Address Address Line 2 City State ZIP Code
Relative Phone*
Relationship*
Reference Name*
First Last
Address*
Street Address City State ZIP Code
Reference Phone*
Relationship*
Reference Name*
First Last
Address
Street Address City State ZIP Code
Reference Phone*
Relationship*
Reference Name*
First Last
Address*
Street Address City State ZIP Code
Reference Phone*
Relationship*
CO-APPLICANT INFORMATION
Co-Applicant Full Name
First Last
Date of Birth
MM
DD
YYYY
Social Security #
Driver's license #
State
Employer/Source of Income
Job Title/Position
Amount of Income
How Paid
Employer's Address
Street Address Address Line 2 City State ZIP Code
Supervisor’s Name
First Last
Supervisor’s Phone
Shift/Hours
Hire Date
Date Format: MM slash DD slash YYYY
CO-APPLICANT PERSONAL REFERENCES
Parent Name
First Last
Parent Address
Street Address Address Line 2 City State ZIP Code
Parent Phone
Relationship
Relative Name
First Last
Relative Address
Street Address Address Line 2 City State ZIP Code
Relative Phone
Relationship
Reference Name
First Last
Reference Address
Street Address Address Line 2 City State ZIP Code
Reference Phone
Relationship
OTHER INFORMATION
Have you ever rented from a rental company?*
What company?
When
How did you hear about Sunrise TV
RELEASE OF INFORMATION TO SUNRISE TV RENTALS (PLEASE READ BEFORE SIGNING):
The information I have provided on this form is correct. I authorize confirmation of all information that I have provided. You may contact any person or company that Ihave listed above for references or assistance in locating or contacting me, and I fully release all parties from all liability for any damage that may result. My (our) signature(s) below indicates that for purpose of confirmation, I (we) have voluntarily waived the protection of all right to privacy laws. This order may be rejected if any information provided above is found to be false. By providing my telephone number(s) including any cell number(s), I consent to receiving calls from Sunrise TV Rentals regardding my agreement(s).
I AM APPLYING FOR A LEASE AND I AM OVER EIGHTEEN (18) YEARS OF AGE:
Primary Leasee Signature*
By entering your name you are agreeing to the terms of this application.
Secondary Leasee Signature
By entering your name you are agreeing to the terms of this application.
Which store are you applying for rentals?
Name
This field is for validation purposes and should be left unchanged.

Application

APPLICANT INFORMATION

PERSONAL REFERENCES

CO-APPLICANT INFORMATION

CO-APPLICANT PERSONAL REFERENCES

OTHER INFORMATION

RELEASE OF INFORMATION TO SUNRISE TV RENTALS (PLEASE READ BEFORE SIGNING):

I AM APPLYING FOR A LEASE AND I AM OVER EIGHTEEN (18) YEARS OF AGE: