RENTAL APPLICATION
Applicant Contact Email
 Application Date
This application must be completed in full. If "None", so indicate. All information is subject to verification. False or willfully omitted statement in this application will be grounds for rejection of your application or If full processing of the application to obtain credit reports etc. is needed the applicant will be contacted for full social security number and to collect a processing fee to cover expenses and is not refundable.
Specific Apartment Interest?
1. APPLICANT
Name
 DOB
 Last 4 SS#
 License #
 Occupation
Home #
 Mobile #
 Martial Status
 Why are you moving?
Employer
 Supervisor
 Phone #
 Dates of Employment
Previous Employer
 Supervisor
 Phone #
 Dates of Employment
Been Bankrupt?
 Been Sued For Bills?
 Been Evicted?
 Broken Lease?
 Damaged Apartment?
 Taken to Court by Landlord?
Moved Owing Rent?
 Ever Locked Out of Apartment?
Ever been charged, convicted or plead guilty or "no contest" to misdemeanor involving sexual misconduct?
Ever been charged, convicted or plead guilty or "no contest" to a felony?
2. APPLICANT CURRENT RESIDENCE
Rental?
 Rent / Mortgage
 Utilities
 Address
 City
 State
 Zip
Landlord
 Address
 City
 State
 Zip
3. APPLICANT PREVIOUS RESIDENCE
Rental?
 Rent / Mortgage
 Utilities
 Address
 City
 State
 Zip
Landlord
 Address
 City
 State
 Zip
4. JOINT APPLICANT
Name
 DOB
 Last 4 SS#
 License #
 Occupation
Home #
 Mobile #
 Martial Status
 Why are you moving?
Employer
 Supervisor
 Phone #
 Dates of Employment
Previous Employer
 Supervisor
 Phone #
 Dates of Employment
Been Bankrupt?
 Been Sued For Bills?
 Been Evicted?
 Broken Lease?
 Damaged Apartment?
 Taken to Court by Landlord?
Moved Owing Rent?
 Ever Locked Out of Apartment?
 Why Are You Moving?
Ever been charged, convicted or plead guilty or "no contest" to misdemeanor involving sexual misconduct?
Ever been charged, convicted or plead guilty or "no contest" to a felony?
5. JOINT APPLICANT CURRENT RESIDENCE
Rental?
 Rent / Mortgage
 Utilities
 Address
 City
 State
 Zip
Landlord
 Address
 City
 State
 Zip
6. JOINT APPLICANT PREVIOUS RESIDENCE
Rental?
 Rent / Mortgage
 Utilities
 Address
 City
 State
 Zip
Landlord
 Address
 City
 State
 Zip
7. PROPOSED OCCUPANT(S)
Name
 Relationship
 Occupation
 Age
Name
 Relationship
 Occupation
 Age
Name
 Relationship
 Occupation
 Age
Name
 Relationship
 Occupation
 Age
Name
 Relationship
 Occupation
 Age
Name
 Relationship
 Occupation
 Age
8. PROPOSED PET(S)
Name
 Type
 Breed
 Age
 Shots
 Licensed
Name
 Type
 Breed
 Age
 Shots
 Licensed
Name
 Type
 Breed
 Age
 Shots
 Licensed
Name
 Type
 Breed
 Age
 Shots
 Licensed
9. INCOME
Owner
 Source
 Amount
 Frequency
Owner
 Source
 Amount
 Frequency
Owner
 Source
 Amount
 Frequency
Owner
 Source
 Amount
 Frequency
10. LOANS AND OBLIGATIONS (current and future)
Owner
 Debt Holder
 Reason
 Time Left
 Amount
Owner
 Debt Holder
 Reason
 Time Left
 Amount
Owner
 Debt Holder
 Reason
 Time Left
 Amount
Owner
 Debt Holder
 Reason
 Time Left
 Amount
Owner
 Debt Holder
 Reason
 Time Left
 Amount
Owner
 Debt Holder
 Reason
 Time Left
 Amount
11. VEHICLES
Make
 Model
 Color
 Type
 License Plate
 State
 Inspection
Make
 Model
 Color
 Type
 License Plate
 State
 Inspection
Make
 Model
 Color
 Type
 License Plate
 State
 Inspection
12. RENTAL INFORMATION
Total move-in amount available now (rent and deposit)?
When would you plan to move in if application approved?
What would you do if the apartment is open before or after you plan to move?
How did you hear about this Rental Unit?
Comments?
13. AUTHORIZATION
I CERTIFY THAT all APPLICANTS are 18 or older and that the above information supplied is true and complete to the best of my knowledge.
I AUTHORIZE the Landlord to contact past and present Landlords, Employers, Creditors, Credit Bureaus, Neighbors and any other sources deemed necessary to investigate applicant.
I UNDERSTAND verification of all information that has been given in this application and understand that this application may be accepted or rejected by the Landlord.
I UNDERSTAND that my rent payment record, my performance of rules and lease obligations, and my treatement of the premises will be reported to the credit reporting agencies and other Landlords.
I FURTHER UNDERSTAND that if full verification is needed of information that has been given in this application the APPLICANT(S) will be contacted to sign a copy of this rental application and an application fee will be charged to complete the processing of this application which is not refundable and full social security numbers will be given and this does not guarantee acceptance.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED
UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME

Date: ______________ Signature: _______________________________________________ SS#________________
 
Date: ______________ Signature: _______________________________________________ SS#________________