Co-Signer / Guarantor Statement

For tenant applicant named:______________________________________________________

Address of rental property: ______________________________________________________

For lease or rental agreement beginning occupancy on:________________________________

Name of Co-Signer: ______________________________________________________

Co-Signer’s Home Address:______________________________________________________

Do you rent or own your residence? _____________ How long at present address?__________

If less than 5 years at present address, please list prior addresses for the last 5 years on the back side of this statement.

Date of birth: _________________    Driver’s License Number ________________ State:____

Home Phone Number: _______________________ Social Security No. ______________

Employer Name:         ______________________________________________________

Employer Address:      ______________________________________________________

Employer Phone Number __________________

Position:                      ____________________________ Length of Employment: ______

Monthly income:         ____________

            I agree that I shall guarantee the performance of _____________________________ (applicant) under the terms of the Lease or Rental Agreement identified above. I understand that I shall be legally responsible to pay any amounts otherwise due from applicant in the event that applicant fails to do so. I have read and understood the lease or rental agreement. I understand that the agreement holds all tenants and their co-signers jointly and severally responsible, which means that I could be required to pay for amounts not paid by other co-tenants in addition to the applicant in the event of a default by any of them.

            Statements on this form are correct to the best of my knowledge. You are authorized to verify this information, including but not limited to obtaining a credit report on my credit history.

Signed: ___________________________________________ Date: ____________________