Application to Rent or Lease

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Personal Details

Title Mr. Mrs. Ms.

Full Name

Date of birth

Social Security No.

Driver's License No.

E-mail

Mobile Phone No.

Home Phone No.

Past Legal Names

Work Phone No.

Additional Occupants

Full name

Relationship to Applicant

Full name

Relationship to Applicant

Full name

Relationship to Applicant

Full name

Relationship to Applicant

Residence

Current Residential Address

Address

City

State

Zip

Dates of Residence

Last Rent Paid ($)

Owner's Name

Owner's Phone

Reason for leaving

Most Recent Previous Residential Address

Address

City

State

Zip

Dates of Residence

Last Rent Paid ($)

Owner's Name

Owner's Phone

Reason for leaving

Second Most Recent Previous Residential Address

Address

City

State

Zip

Dates of Residence

Last Rent Paid ($)

Owner's Name

Owner's Phone

Reason for leaving

Employment

Current Employment

Employer Name

Job Title

Address

City

State

Zip

Phone

Monthly Income ($)

Supervisor Name

Employee Since

Prior Employment

Employer Name

Job Title

Address

City

State

Zip

Phone

Monthly Income ($)

Supervisor Name

Employee From

Employee Until

Vehicles

Primary Vehicle

Make

Model

Color

Year

License No.

Secondary Vehicle

Make

Model

Color

Year

License No.

Personal References

Notify in Case of Emergency

Full Name

Address

City

State

Zip

Phone

Relationship

Close Friend

Full Name

Address

City

State

Zip

Phone

Nearest Relative Living Separately

Full Name

Address

City

State

Zip

Phone

Relationship

Credit Information

Name/Address of Bank

Type Checking Savings

Current Balance

General Information

Do you smoke? Yes I do not smoke, nor do any other occupants I have listed

Have you ever filed for bankruptcy? Yes No

Do you have any music instruments Yes No

Do you have any water filled furniture? Yes No

Have you ever been convicted for selling, possessing, distributing, or manufacturing illegal drugs or convicted of any other crime? Yes No

Have you ever been evicted for non-payment of rent or any other reason? Yes No

Please further explain any questions to which you answered "Yes" above.

How many bedrooms do you need?

What is your price range?

What type of pet does your family have?

Name of Family Attorney

Terms And Conditions

Applicant represents that all information given on this application is true and correct.

Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references.

Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports.

Applicant agrees to furnish additional credit and/or personal references upon request.

Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy.

Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

Signature

typed signature

Date

Drawn signature

Available Units

Application to Rent or Lease

To download a paper form that can be mailed or faxed, click Here