Rental Application

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Individual application required from each occupant 18 years of age or older, with all sections completed.

DESIRED DATE OF MOVE-IN

APPLICANT INFORMATION: Primary

Name (full legal name):

Social Security Number:

DOB:

Home Phone:

Work Phone:

Driver's License / ID Number:

State:

Email Address:

Employer:

Name and Address:

Phone:

Supervisor:

Length of Employment: Begin

End

Income: $

(Annual, Monthly, others specify )

MISCELLANEOUS: (check appropriate answer)

Do you smoke?

Yes No

Do you plan to have water filled furniture on the rental property? If yes, detail below.

Yes No

Have you ever been evicted? If yes, explain below.

Yes No

Have you ever been convicted of a felony? If yes, explain below.

Yes No

Have you ever filed for bankruptcy? If yes, explain below.

Yes No

Explanation:

RENTAL HISTORY:

Current Address:

Dates Lived at This Address: From

Reason for leaving:

Landlord/Manager:

Landlord/Manager's Phone:

NAME OF OCCUPANTS AND RELATIONSHIP TO APPLICANT:

Name:

Relationship:

Name:

Relationship:

Name:

Relationship:

APPLICANT / OCCUPANT VEHICLE(S):

Make:

Model:

Year:

Tag#:

Make:

Model:

Year:

Tag#:

Make:

Model:

Year:

Tag#:

MISCELLANEOUS: (check appropriate answer)

Do you have pets? * Max of 2 pets under 60 pounds

Yes No

1.Breed

Name

2. Breed

Name:

NOTE: There may be additional fees and/or deposits required for pets housed on premises. In addition, specific rules and regulations regarding pets may apply.

APPLICANT PERSONAL REFERENCES:

Name:

Relationship:

Address:

Phone:

Known this reference how long?

Email Address

APPLICANT EMERGENCY CONTACT INFORMATION:

Contact in Emergency (Name):

Relationship:

Emergency Contact Address:

Phone:

Email Address:

I hereby certify and affirm that all information provided above is true and correct. I fully understand that my lease or rental agreement may be terminated if I have made any false, misleading, or incomplete statement(s) in this application. I hereby authorize verification of all information provided in this application, including financial and credit information, via credit bureaus and/or contact with current and previous employers, current and previous landlords and personal references.

APPLICANT-Please attach a copy of current Driver License

DATE

Proof of income

DATE

Please, attach the application fee and/or co-application fee. Application with no attached fees will not be processed.