RENTAL APPLICATION

Property Applying For:	  ______________________________		
Requested Move-In Date:  ______________________________		
		
Last Name:	   _____________________First:  ____________________Middle:____________	
SSN:		   ____________________ Drivers License:  _____________________________
Date of Birth:  ____________________ Phone #: (              ) __________________________
Text Service on Cell 	 Yes   No       Cell #: (              ) __________________________
Email:  _____________________________________________________________________

Current Address: ____________________________________________________________
City                         ____________________________ State:  __________Zip:  ____________
Landlord:		_____________________________ Phone # (            ) ________________
How long?  From:  ______________To:  ___________ Current Payment: ________________
Reason for Leaving:____________________________________________________________

Previous Address: ____________________________________________________________
City                         ____________________________ State:  __________Zip:  ____________
Landlord:		_____________________________ Phone # (            ) ________________
How long?  From:  ______________To:  ___________ Current Payment: ________________
Reason for Leaving:____________________________________________________________

Current Employment:   _______________________________________________________
Street Address:	_____________________________________________________________
City                        ___________________________ State:  __________ Zip:  _____________	
Supervisor:		___________________________ Phone # (           ) ___________________
How long?  From: ____________________________To:  _____________________________
Income:  		___________________________ per  Week     Month    Year

Previous Employment:  _______________________________________________________
Street Address:	_____	_______________________________________________________
City                         ___________________________ State:  ___________Zip:  ____________
Supervisor:		____________________________ Phone # (             ) ________________
How long?  From:  ____________________________To:  ____________________________
Income:  		____________________________ per  Week     Month    Year

List ALL additional occupants - include age of minor children.
Name:  ___________________________Relationship: ___________________Age:_____
Name:  ___________________________Relationship: ___________________Age:_____
Name:  ___________________________Relationship: ___________________Age:_____

Name:  ___________________________Relationship: ___________________Age:_____
Name:  ___________________________Relationship: ___________________Age:_____
     
Pets: Description/Weight	     _________________________________________________ 
         Description/Weight	     _________________________________________________

Have you ever been evicted?   Yes   No                 Foreclosure/Repossession?   Yes   No
If yes, explain ________________________________________________________________
Have you ever filed for bankruptcy?   Yes   No       If yes,   Chapter 7   Chapter 13 
If yes, explain ________________________________________________________________
Have you been convicted of a felony?   Yes   No   
If yes, explain ________________________________________________________________

In case of emergency, name and address of two nearest relatives not living with you:

Name:  	  ______________________________  Address:___________________________
City:		  ______________________________  State:  ______________  Zip:  _________	
Relationship:  _______________________________Phone Number:  (      )_______________

Name:  	 ______________________________   Address: __________________________
City:		  ______________________________  State:  ______________  Zip:  _________	
Relationship:  ______________________________ Phone Number:  (      )________________

Applicant has submitted the sum of $____.00, which is a non-refundable payment for a credit check, and processing of this application by the Landlord or his/her agent. This sum does not represent a rental payment or payment of the lease fee. In the event that this application is disapproved, or applicant cancels, this sum will be retained by the Landlord to cover the cost of processing this application as furnished by the applicant.

A reservation payment of $________________ is required for processing this application, and is being paid herewith. By signing this application the undersigned expressly agrees to rent this unit (if application is approved) and agrees that if applicant(s) is accepted by management then decides not to move into the premises, this reservation fee will be forfeited as liquidated damages since other prospective tenants may have been turned away and it may be necessary for Management to re-advertise the property and evaluate other applicants. If applicant is not approved, all monies given herewith, less application fee shall be returned to applicant. Processing of applicant shall be as timely as possible and the results may be offered via telephone, fax, or mail.

I certify that the information given herein is complete and correct. The Landlord or his agent is hereby expressly authorized to verify the accuracy and correctness of these statements, to communicate with my employers, creditors and landlords, and to procure such other information (including credit reports) which the Landlord may require to evaluate this application at the time application is submitted and at any time in the future, with regard to any agreement entered into with Management. Any false information will constitute grounds for rejection of application, or Management may immediately terminate any tenancy entered into in reliance upon misinformation given on the application. 

Signature:  ____________________________               Date:  __________________________