Application To Rent

Application To Rent

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EACH APPLICATION MUST BE FULLY COMPLETED.  ANY BLANKS, MAY RESULT IN THE IMMEDIATE NON-PROCESSING OF THE APPLICATION.  EACH applicant over 18 years of age who will be residing in the unit must complete an application and submit a $40.00 application fee.

*HAVE YOU APPLIED HERE BEFORE? IF YES, WHEN? *SOCIAL SECURITY NUMBER:
*LAST NAME: *FIRST NAME: *MIDDLE NAME: WORK PHONE:
*DATE OF BIRTH: *DRIVER’S LICENSE NUMBER: *EXPIRATION/STATE: *HOME PHONE:

Present Address Information
*PRESENT ADDRESS: *CITY: *STATE/ZIPCODE: *CURRENT RENT AMOUNT:
*FROM: *TO: *OWNER/MANAGER: *PHONE:
*REASON FOR MOVING:

Previous Address Information
*PREVIOUS ADDRESS: *CITY: *STATE/ZIPCODE: *PREVIOUS RENT AMOUNT:
*FROM: *TO: *OWNER/MANAGER: *PHONE:
*REASON FOR MOVING:

Other Information
*NAME AND RELATIONSHIP OF EVERY PERSON THAT WILL BE LIVING WITH YOU (INCLUDING NAMES AND BIRTHDAYS OF MINOR CHILDREN):
*WILL YOU HAVE PETS? IF SO, HOW MANY AND WHAT TYPE? *WILL YOU HAVE ANY LIQUID FILLED FURNITURE? *IF PARKING IS AVAILABLE, I WANT TO RENT FOR AN ADDITIONAL FEE?

Present Work History
*PRESENT OCCUPATION: *EMPLOYER NAME: *EMPLOYER ADDRESS/PHONE:
*SUPERVISOR’S NAME: *SUPERVISOR’S PHONE: *HOW LONG WITH THIS EMPLOYER:
*LIST ALL OTHER SOURCES OF INCOME: *CURRENT GROSS MONTHLY INCOME (before deductions):

Previous Work History
PREVIOUS OCCUPATION: EMPLOYER NAME: EMPLOYER ADDRESS/PHONE:
SUPERVISOR’S NAME: SUPERVISOR’S PHONE: HOW LONG WITH THIS EMPLOYER:

Financial Information
BANK NAME: BRANCH ADDRESS: ACCOUNT NUMBER:
CHECKING:
SAVINGS:
MAJOR CREDIT CARD:
MAJOR CREDIT CARD:
*HAVE YOU EVER FILED A BANKRUPTCY: *ANY EVICTIONS? IF YES WHAT YEAR?:
VEHICLE: MODEL: YEAR: LICENCE PLATE NUMBER:
VEHICLE (S): MODEL: YEAR: LICENCE PLATE NUMBER (S):

Personal Reference
*PERSONAL REFERENCE: *ADDRESS: *PHONE: *RELATIONSHIP:
*PERSONAL REFERENCE: *ADDRESS: *PHONE: *RELATIONSHIP:
Agree I DECLARE THAT THE STATEMENTS ABOVE ARE TRUE AND CORRECT, AND HEREBY AUTHORIZE VERIFICATION OF REFERENCES, CREDIT/ BACKGROUND CHECK GIVEN. I ACKNOWLEDGE RECEIVING THE EXPLANATION AND RECEIPT OF APPLICATION FEE USE. EACH APPLICATION REQUIRES A PAYMENT OF $40.00 FOR PROCESSING IN THE FORM OF CASH OR MONEY ORDER.
*DATE: *SIGNED: *EMAIL:

FORM 2015/07ver 1.5

Once the application has been sent, a copy will be emailed to you.

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