AI Louisiana Rental Application

Generate a complete, ready-to-use Louisiana Rental Application, enter applicant details, household, income, rental history, screening criteria, and fees to receive a fully compliant form with FCRA disclosures, written consent for background and credit checks, non-discrimination notice under the Louisiana Fair Housing Act, fee disclosure (no statutory cap but must be disclosed as non-refundable), objective screening criteria, and authorization signatures., -

LOUISIANA RESIDENTIAL RENTAL APPLICATION

Property Address Applied For: [[Property Full Address, Street, City, Louisiana ZIP, Parish]]

Application Date: [[Application Date]]

Application Fee: $[[Application / Screening Fee Amount]] (non-refundable; paid to cover actual costs of processing including credit and background reports), -

SECTION 1, APPLICANT INFORMATION

Primary Applicant Full Legal Name: [[Primary Applicant Full Name]]
Date of Birth: [[Primary DOB]] | Social Security Number: [[Primary SSN (last 4 or full with consent)]]
Driver's License / State ID: [[DL or ID Number]], State: [[DL State]]
Current Phone: [[Primary Phone]] | Email: [[Primary Email]]
Current Address: [[Current Street Address, City, State, ZIP]]
How long at current address: [[Years/Months at Current]]
Current Landlord or Mortgage Holder: [[Current Landlord/Mortgage Name and Phone]]
Reason for moving: [[Reason for Moving]]

Co-Applicant / Additional Adult Full Legal Name: [[Co-Applicant Full Name or "N/A"]]
Date of Birth: [[Co-Applicant DOB]] | SSN: [[Co-Applicant SSN]]
Relationship to Primary: [[Relationship, spouse, partner, roommate, etc.]]

All Other Proposed Occupants (names and ages):
1. [[Occupant 1 Name, Age, Relationship]]
2. [[Occupant 2 Name, Age, Relationship]]
3. [[Occupant 3 Name, Age, Relationship]]
(Attach additional sheet if more.), -

SECTION 2, RESIDENCY HISTORY (Last 3 Years)

Previous Address 1: [[Previous Address 1, Full]]
Dates: [[Dates at Previous 1]] | Landlord: [[Landlord Name/Phone 1]] | Rent: $[[Rent Amount 1]]
Reason left: [[Reason Left Previous 1]]

Previous Address 2: [[Previous Address 2, Full]]
Dates: [[Dates at Previous 2]] | Landlord: [[Landlord Name/Phone 2]] | Rent: $[[Rent Amount 2]]
Reason left: [[Reason Left Previous 2]]

Has any applicant ever been evicted or asked to vacate? ☐ Yes ☐ No
If yes, explain: [[Eviction Explanation or "N/A"]]

Has any applicant ever been party to a lawsuit involving a landlord/tenant matter? ☐ Yes ☐ No
Details: [[Lawsuit Details or "N/A"]], -

SECTION 3, EMPLOYMENT AND INCOME

Primary Applicant Employment
Current Employer: [[Primary Employer Name]] | Position: [[Primary Job Title]]
Address: [[Employer Address]] | Supervisor: [[Supervisor Name/Phone]]
Length of Employment: [[Primary Employment Duration]] | Monthly Gross Income: $[[Primary Monthly Gross Income]]

Other Income Sources (SSI, child support, alimony, investments, etc.): [[Other Income Sources and Amounts]]

Co-Applicant Employment
Current Employer: [[Co-Applicant Employer]] | Position: [[Co-Applicant Title]]
Monthly Gross: $[[Co-Applicant Monthly Gross]] | Duration: [[Co-Applicant Duration]]

Total Combined Monthly Gross Household Income: $[[Total Monthly Gross Household Income]]

Bank / Financial References
Bank Name: [[Bank Name]] | Account Type: [[Checking / Savings]] | Approx. Balance: $[[Approx Balance or "Upon Request"]], -

SECTION 4, RENTAL / CREDIT / CRIMINAL SCREENING CONSENT AND FCRA DISCLOSURE

IMPORTANT, FAIR CREDIT REPORTING ACT (FCRA) DISCLOSURE AND AUTHORIZATION

By signing below, each applicant authorizes [[Landlord / Property Manager / Company Name]] ("Landlord") and its agents, including consumer reporting agencies, to obtain consumer credit reports, criminal background reports, eviction history, sex offender registry, and any other permissible reports for tenant screening purposes.

This is a consumer report as defined by the FCRA (15 U.S.C. § 1681 et seq.). The information obtained may be used in whole or in part to decide whether to rent to you. If an adverse action (denial, higher deposit, or other) is taken based in whole or in part on information in a consumer report, you will be provided:

• Notice of the adverse action
• Name, address, and telephone number of the consumer reporting agency that furnished the report
• Statement that the agency did not make the decision and cannot explain it
• Notice of your right to obtain a free copy of the report within 60 days and to dispute its accuracy

Written Consent: I/we consent to the procurement of the above reports and authorize verification of all information provided in this application, including contacting current and prior landlords, employers, and references. I/we release all parties from liability for providing such information.

Applicant Signature(s) below also serve as written authorization for background and credit checks., -

SECTION 5, SCREENING CRITERIA DISCLOSURE

Landlord applies the following objective, consistently applied criteria to all applicants (subject to reasonable accommodations under fair housing law):

• Income: Combined gross monthly household income must be at least [[Income Multiple, e.g., 3.0]] times the monthly rent.
• Credit Score: Minimum [[Minimum Credit Score or "No strict minimum; review overall"]]
• Rental History: No evictions within the past [[Eviction Lookback Period, e.g., 5 years]]; no outstanding balances owed to prior landlords.
• Criminal: No felony convictions for violent crimes, drug manufacturing/distribution, or sexual offenses within [[Criminal Lookback, e.g., 7 years]] (individualized assessment performed per fair housing guidance).
• Other: No more than [[Max Occupants per Bedroom Guideline]] persons per bedroom consistent with local code and HUD guidance.

Denial or conditional approval will be communicated in writing with the specific reason(s) and any applicable appeal process., -

SECTION 6, PETS, VEHICLES, AND ADDITIONAL INFORMATION

Pets: ☐ No pets ☐ Dog(s) ☐ Cat(s) ☐ Other
Breed / Number / Weight: [[Pet Details or "N/A"]]
Pet Deposit / Fee: $[[Pet Deposit or Monthly Pet Rent if applicable]]

Vehicles: Number of vehicles: [[Number of Vehicles]]
Make/Model/Year/License: [[Vehicle 1 Details]]
[[Vehicle 2 Details or "N/A"]]

Smoking Policy Preference: [[Smoking, Non-smoking only / Designated areas]]

Emergency Contact: [[Emergency Contact Name, Relationship, Phone]], -

SECTION 7, LOUISIANA FAIR HOUSING ACT AND NONDISCRIMINATION NOTICE

Louisiana Fair Housing Act (La. R.S. 51:2601 et seq.) and the federal Fair Housing Act prohibit discrimination in housing on the basis of race, color, religion, sex, national origin, familial status, disability, and other protected classes under Louisiana law.

Landlord does not discriminate. All applications are processed using the objective criteria listed above. If you believe you have been discriminated against, you may contact the Louisiana Attorney General's Office, the U.S. Department of Housing and Urban Development (HUD), or file a complaint.

Applicant Acknowledgment of Nondiscrimination: By signing, I/we acknowledge receipt of this notice., -

SECTION 8, CERTIFICATION AND AUTHORIZATION

I/we certify that all information in this application is true and complete to the best of my/our knowledge. I/we understand that any false statement or omission may result in denial of this application or termination of any tenancy granted.

I/we have received a copy of this application and the disclosures contained herein.

Primary Applicant Signature: ___________________________________ Date: [[Date]]

Printed Name: [[Primary Applicant Full Name]]

Co-Applicant Signature: ___________________________________ Date: [[Date]]

Printed Name: [[Co-Applicant Full Name]], -

FOR LANDLORD USE ONLY

Date Received: ____________ Fee Paid: $___________ Receipt #: ____________

Screening Ordered: ☐ Credit ☐ Criminal ☐ Eviction ☐ Other

Decision: ☐ Approved ☐ Denied ☐ Conditional (higher deposit / guarantor / etc.)

Adverse Action Notice Sent (if applicable): Date ____________ CRA Used: ____________

Landlord / Agent Signature: __________________________________ Date: ____________, -

Template, not professional legal advice. Landlord must apply criteria consistently to all applicants and comply with FCRA adverse action requirements. Application fees must be disclosed as to amount and that they are non-refundable. Verify current requirements under Louisiana Fair Housing Act (La. R.S. 51:2601+) and federal law.

Key Authorities: 15 U.S.C. § 1681 et seq. (FCRA); La. R.S. 51:2601 et seq. (Louisiana Fair Housing Act); no statutory cap on application fees in Louisiana (disclose amount and non-refundability)., -

> ⚠️ Template example, not professional (legal/financial/medical) advice. Figures and clauses must be verified for the applicable jurisdiction and kept current. All user inputs are expressed as [[Token Name]] placeholders.