Available Units

RENTAL APPLICATION

RENTAL APPLICATION

AND BACKGROUND/CREDIT VERIFICATION RELEASE

Each individual occupant over the age of 18 must complete a separate application form.

PERSONAL INFORMATION

TENANT’S LAST NAME FIRST NAME MIDDLE INITIAL SOCIAL SECURITY NUMBER
DATE OF BIRTH DRIVER’S LICENSE NO. STATE HOME PHONE NUMBER
1. PRESENT HOME ADDRESS CITY STATE ZIP
LENGTH OF TIME REASON FOR LEAVING LANDLORD’S NAME LANDLORD’S PHONE NO.( )
2. PREVIOUS HOME ADDRESS CITY STATE ZIP
LENGTH OF TIME REASON FOR LEAVING LANDLORD’S NAME LANDLORD’S PHONE NO.( )
3. NEXT HOME ADDRESS (If 2. Is one year or less) CITY STATE ZIP
LENGTH OF TIME REASON FOR LEAVING LANDLORD’S NAME LANDLORD’S PHONE NO.( )

PROPOSED OCCUPANTS: DESCRIBE EACH PERSON WHO WILL OCCUPY THE PREMISES AND THEIR RELATION

NAME RELATIONSHIP
WILL YOU HAVE ANY PETS? IF YES, PLEASE DESCRIBE. WILL YOU HAVE ANY WATERBEDS? IF YES, PLEASE DESCRIBE.

EMPLOYMENT/FINANCIAL INFORMATION

Present EmployerOccupation Name
How long Phone ( ) Employerwith this employer? Number Address
Name ofSupervisor
Prior EmployerOccupation Name
How long Phone ( ) Employerwith this employer? Number Address
Name ofSupervisor
Current Gross Income ☐Week ☐Year$ PER ☐Month Name of your Bank Branch or Address ☐Checking Account Number
Have you ever filed for bankruptcy? If yes, list date and describe. ☐ Savings

Litigation: Any such as evictions, suits, judgments, or foreclosures? If yes, describe.

CREDIT REFERENCES- Please list all of your financial obligations.

Name of Creditor Branch/Address Account Number Monthly Payment

EMERGENCY INFORMATION- In case of an emergency, please notify:

Name1. Address Phone Relationship
2.

PERSONAL REFERENCES

Name1. Address Phone Years Known
2.
3.

VEHICLE INFORMATION- Please state exact number of vehicles that will be at the premises.

Vehicle Make Model Year License No.
Vehicle Make Model Year License No.
Motorcycles (other vehicles) Model Year License No.

Have you ever been convicted of a crime, placed on probation/parole, is there a current warrant for your arrest, or have you ever been involved in criminal activity?  If yes, please describe. 

All information furnished on this application is to the best of my knowledge, complete and accurate. Discovery of false or omitted information constitutes grounds for rejection of this application. I understand that this application shall be incorporated in and become part of the lease of the premises sought and if incorrect or untrue shall be grounds for cancellation of the lease. Applicant hereby authorizes landlord/agent to verify any and all the information including, but not limited to, obtaining a credit report, criminal background check, and verification of employment. I authorize all persons and/or firms named in this application to freely provide the requested information concerning me and hereby waive all right of action for any consequence resulting from such information.

I acknowledge payment of $35.00 as a non-refundable fee for the purpose of processing this application.

Date Applicant’s signature