Applicant’s Full Name

Marital Status

First Middle Last

Birth Date

Social Security Number

Driver’s License #

Co-applicant’s Full Name

First Middle Last

Birth Date

Social Security Number

Driver’s License #

All Other Proposed Occupants

Age

Relationship to Applicant

Current Resident

Previous Residence

Additional Information

Street Address

Phone number:

City

Cell number:

State & Zip

Last Rent Amount Paid

Owner Manager Name

And phone number

Is/was rent paid in full?

Did you give notice?

Were you asked to move?

Name in which your utilities are now billed.

From/To

From/To

Dates of Residency

Current Employment

Previous Employment

Employed By

Address

Employer’s Phone

Occupation

Name of Supervisor

Monthly Gross Pay

From/To

From/To

Dates of Employment

Bank/Institution Name

Number

Savings Account

Checking Account

Credit Reference

Make

Model

Color

Year

License Plate

Nearest Relative living elsewhere

Name

Street Address

City

State & Zip

Phone Number

By signing the application, you grant us permission to communicate with all the contacts listed in this section in the event we can not locate you. Furthermore, if you abandon the property for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.

Have you ever been served a late rent notice?

Do any of the people who would be living in the residence smoke?

How long do you think you would be renting from us?

Have you ever filed for bankruptcy? If so, when?

When would you be able to move in?

Have you ever been convicted of a felony?

Have you ever been served an eviction notice? If so, when?

How many pets do you have? (List Type, Breed, approx weight & age

Have you had any reoccurring problems with your current residence or landlord? If yes, please explain

List any verifiable sources and amounts of income you wish to have considered (optional)

If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person’s name, address, and phone # so that we can use them as a reference for you.

Have you been a party to a lawsuit in the past? If so, please explain why:

We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?

How did you hear about our company?

Do you have any e-mail address?

Do you know of anybody else looking for a residence? Please provide their name and number.