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Community:

 

Unit No.:

 

Building. Address:

 

Move In Date:

 

Monthly Rent:

 

Size:

 

RESIDENTIAL RENTAL APPLICATION

(Each Co-Resident Must Submit A Separate Application)

INSTRUCTIONS:  Response required for each blank.  Use N/A if not applicable.  Please print except for signature.  Use full names or initials.  If living at temporary address, please use last previous address as present address.

Date:

 

 

Applicant’s Full Name:

 

Present Address:

 

City:

 

State:

 

Zip:

 

Phone:  (      )

 

Social Security Number:

 

Date of Birth:

 

Marital Status:  Married (     )     Single (     )     Divorced (     )     Separated (     )

Spouse’s Name:

 

Maiden Name:

 

Social Security Number:

 

Date of Birth:

 
                       

How many persons will occupy this unit?  ________  Please list below.  If additional space is needed, attach a separate sheet of paper.

Name                              Age                                       Relationship

 

                                       Age                                       Relationship

 

 

 

Name                              Age                                       Relationship

 

                                       Age                                       Relationship

EMPLOYMENT HISTORY

Current Employer:

 

Company Phone:  (      )

 

Address:

 

Position:

 

Employed From:

 

To:

 

Salary:

 

Supervisor’s Name:

 

Previous Employer:

 

Company Phone:  (      )

 

Address:

 

Position:

 

Employed From:

 

To:

 

Salary:

 

Supervisor’s Name:

 
                     

SPOUSE’S EMPLOYMENT HISTORY

Current Employer:

 

Company Phone:  (      ):

 

Address:

 

Position:

 

Employed From:

 

To:

 

Salary:

 

Supervisor’s Name:

 

Previous Employer:

 

Company Phone:  (      )

 

Address:

 

Position:

 

Employed From:

 

To:

 

Salary:

 

Supervisor’s Name:

 
                     

RESIDENTIAL HISTORY

Current Apartment Name or Landlord:

 

Address:

 

City:

 

State:

 

Zip:

 

Landlord’s Phone:  (      )

 

From:

 

To:

 

Monthly Payments:

 

Reason For Moving:

 

Previous Apartment Name or Landlord:

 

Address:

 

City:

 

State:

 

Zip:

 

Landlord’s Phone:  (      )

 

From:

 

To:

 

Monthly Payments:

 

Reason For Moving:

 
                                         

VEHICLES

Year:

 

Make:

 

License Number:

 

State:

 

Year:

 

Make:

 

License Number:

 

State:

 

Do you have a trailer, truck, or boat?

 

If so, where do you propose to park it?

 
                 

Has applicant, spouse, or any other proposed occupant ever:

      Filed for bankruptcy?      No      (      )      Yes      (      )

      Been evicted?      No      (      )      Yes      (      )

      Willfully or intentionally refused to pay rent when due?      No      (      )      Yes      (      )

      Had a criminal record?      No      (      )      Yes      (     )

 

If yes, please explain:

 

 

 

      Been arrested for drug use or trafficking in drugs?      No      (      )      Yes      (      )

 

If yes, please explain:

 

 

 

      Are or been a party to any lawsuit?      No      (      )      Yes      (     )

 

If yes, please explain:

 

 

 

      Are there any judgments against you?      No      (      )      Yes      (     )

 

If yes, please explain:

 

 

 

     Does anyone in the household smoke?      No      (      )      Yes      (     )

   PETS

Number:

 

Type(s):

 

Weight(s)

 

Breed:

 

Note: This provision does not imply that pets are allowed.

EMERGENCY INFO 

In case of an emergency, please notify (excluding rental applicants):

 

Name:

 

Phone:  (      )

 

CONDITIONS & INFORMATION

This application will be approved/rejected usually within five (5) days of being submitted to landlord.  However, there is no obligation of landlord to notify tenant unless application is approved.

Landlord complies with all State and Federal Laws regarding discrimination and does not discriminate based upon age, race, sex, marital status, religion, national origin, or other prohibited classification.

I/We do hereby consent to and authorize the landlord and/or his/her/their agent to obtain, verify, and exchange information on any reports concerning me as are maintained by, but not limited to:  City, County, State, Federal Law Enforcement Agencies, Credit Reporting Agencies, present and/or past employers including but not limited to present and/or past salary verification, present and/or past residences.  I understand that any information obtained may be considered by the landlord and/or his/her/their agent in accordance with the established screening criteria, as a factor in decisions they make with respect to the property for which I/We am/are applying 

Furthermore, I/We hereby release and hold harmless any agencies, owners, and affiliates (including but not limited to officers, directors, and employees) that shall provide information to the landlord and/or his/her/their agent upon request, from any and all claims, demands, suits, or expenses arising from or related to the content, validity, or handling of said reports.

I/We hereby certify that I/We have read and reviewed the information contained in this application for lease is accurate, full, and complete.  Any discrepancy or lack of information will result in immediate rejection of this application.  I/We understand that this is an application and does not constitute a lease agreement in whole or part.

I/We understand that my/our deposit may be applied toward any rent loss, advertising, costs, re-rental fees, etc., if this application is approved, and I/We am/are unable to fulfill the conditions of occupancy.  The deposit will be returned promptly if this application is not approved, providing all the above questions are answered correctly and truthfully.  I/We hereby acknowledge a Non-Refundable Fee of $__________ to be used in the processing of this application.  I understand this charge is not, under any circumstances, to be returned to me.

Signature:

 

Date:

 

 

Signature:

 

Date: