October 25, 2016


NOTICE: Application must be filled out in its entirety. Applications incomplete will not be considered in any way. If not married, all applicants must submit own application.

Agency: I/We understand that I/We are not represented by Property Professionals of Bemidji's broker or salespeople and that the broker/salespeople represent the owner/landlord. If you desire representation you must enter into a written contract (NOT with Property Professionals of Bemidji), according to state law. This is a disclosure only, not a contract for representation.

List All Persons To Occupy Dwelling, Including Yourself

If more than two adults are applying, please fill out an additional application for remainder of adults.

Rental Info

Current Address

Previous Address


Applicant 1

Applicant 2

Other Income

Have you ever?


Emergency Contact