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.

    *PREFERRED LOCATION? LENGTH OF STAY? *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 TRAVELING:

    Contractor Business Name Information

    *CONTRACTOR BUSINESS NAME: *ADDRESS: *CITY/STATE/ZIPCODE: *CONTACT NUMBER:
    *LENGTH OF CONTRACT: FROM: *TO: *DESIRED RENTAL AMOUNT: *DESIRED AMENITIES:
    *APARTMENT UNIT SIZE OR SHARED ROOMS:
    [text*apartment-unit-size-or-shared-rooms]

    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 YOUR OWN 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 SOURCES OF INCOME: *CURRENT GROSS MONTHLY INCOME (before deductions):

    Financial Information

    BANK NAME: BRANCH ADDRESS: ACCOUNT NUMBER:
    CHECKING:
    SAVINGS:
    MAJOR CREDIT CARD:
    MAJOR CREDIT CARD:
    *HAVE YOU EVER FILED A BANKRUPTCY:
    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 2019/08 ver 1.5

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