Application

Property
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Applicant Name

Work Phone

Home Phone

Co-Applicant

Work Phone

Home Phone

Others living with you

Current Address

How Long?

Rent/Month

Present Landlord

Present Landlord Telephone

Previous Address

How Long?

Rent/Month

Do you have pets that will occupy the premises?
No   Yes  
Description of pet (if checked yes)

How many vehicles will be kept at the property?

Are you interested in a garage?
Yes   No  
Vehicle Owner

Vehicle Make

Vehicle Model

Vehicle Year

Plate #

State

In case of emergency, whom may we contact? Name

Contact Address

Contact Phone

Employer Name (Current)

Employer Telephone/Supervisor (Current)

Employer Address (Current)

From-To Dates (Current)

Monthly Gross Wages (Current)

Employer Name (Previous)

Employer Telephone/Supervisor (Previous)

Employer Address (Previous)

From-To Dates (Previous)

Monthly Gross Wages (Previous)

Social Security #

Birth Date

Driver's License #

Please provide two personal references (not related to you) that we may contact:

Reference 1 Name

Reference 1 Telephone

Reference 2 Name

Reference 2 Telephone

How did you learn about this property?
Personal Reference   Advertisement   Driving in Neighborhood  
Please indicate the personal reference name or advertisement source

Have you or any person intending to occupy the premises, ever been evicted or asked to leave any rental property?
Yes   No  
Have you or any person intending to occupy the premises, ever been convicted of a felony?
Yes   No  
In the space below, please describe any additional information that you feel we should be aware of in considering your application. This may include other sources of income (however, you do not need to reveal alimony, child support, or spouse'

PLEASE CAREFULLY READ BELOW BEFORE SIGNING THIS APPLICATION

The purpose of this application is to determine whether I, along with any co-applicants named hereon, qualify as a tenant. If this application is approved, the Landlord, my co-applicants and I shall sign a written rental agreement. There is no rental agreement until the time that a written rental greement has been signed by Landlord and at least one tenant named herein.

I have paid the earnest money deposit and credit report fee indicated on this application. The earnest money deposit will be applied to my security deposit or my first month’s rent if the Landlord enters into a rental agreement with me. If this application is approved, and I fail to enter into a rental agreement, the earnest money, and any subsequent payments made by me or my co-applicants, may be retained to compensate the Landlord’s costs and damages, subject to the Landlord’s duty to mitigate. The earnest money and any subsequent payments will be refunded to me by the end of the next business day if: (1) this application is rejected, or withdrawn before approval; or (2) if the Landlord takes no action on this application by the end of the 21st day following the Landlord’s receipt of the earnest money. The application fee covers the credit report costs and is nonrefundable.

I hereby authorize the Landlord and its management agent to investigate my credit and financial responsibility, income, rental and eviction history, and statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any rental agreement that I may enter into with the Landlord may be reported to such credit-reporting agency. I authorize all listed prior landlords to disclose terms, payments and conditions of my occupancy with them.

I acknowledge that the management agent and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with the fair housing law, and to disclose material adverse facts about the property.

I was given the opportunity to review a sample rental agreeement, the rules and regulations, and all other lease addenda. I warrant and represent that I am at least 18 years of age, and that all statements herein are true and correct, to the best of my knowledge.