| Applicant Name |
| *Last: |
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*First: |
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MI: |
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| *Soc. Sec. # |
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Marital Status: |
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| *Date of Birth: |
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*Email Address: |
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Drivers Lic # |
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State Issued: |
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| *Home Phone: |
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Cell phone: |
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| Co-Applicant Name |
Last: |
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First: |
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MI: |
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| Soc. Sec. # |
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| Other Occupants: |
Birth Date: |
SS#: |
Relationship: |
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| Please provide 5 years of continuous history: |
| *Complete current address: |
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Mortgage Rent $:
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Dates from:
To:
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Landlord/Mortgage company name: |
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Landlord/Mortgage company address: |
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Landlord/Mortgage company phone #: |
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| What is your reason for moving? |
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| Previous address: |
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Mortgage Rent $:
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Dates from:
To:
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| EMPLOYMENT: Please provide 2 years of continuous history |
| Please check off all applicable: |
Employed full time
Employed part time
Retired
Self employed
Unemployed |
Current Employer: |
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Position: |
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| Address: |
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Phone Number: |
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| Dates from:
To:
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| Current Salary $:
Per hour
Per Year
Per pay |
| Pay Cycle:
Weekly
Bi Weekly
Monthly |
Supervisor's Name: |
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Supervisor's Phone Number: |
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Previous Employer : |
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Position:
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| Address: |
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Phone Number: |
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| Dates from:
To:
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| Previous Salary $:
Per hour
Per Year
Per pay |
Supervisor's Name: |
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Supervisor's Phone Number: |
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| In case of emergency, notify: |
Name:
Phone:
Relationship:
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| In the event of serious illness or death of resident(s), the above person
may
may not enter, remove and/or store all contents found in dwelling or mailbox. |
| Credit References: |
Name of Institution:
Phone:
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| Other loans:
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Do you have any of the following credit cards:
Visa
Master card
Discover Card
American Express
Other:
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Have you ever filed bankruptcy?
yes
no
Discharge date and case #:
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Have you ever been evicted?
yes
no
When?
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Have you ever willfully or intentionally refused to pay rent when due?
yes
no |
| Vehicle Information: |
| How many vehicles will you keep at this address? |
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| Pet Information: |
Do you own a pet ?
yes
no
Dog
Cat
Bird Other:
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| Note: All applicants owning a pet(s) must have landlords prior written approval, complete a pet addendum to the lease, pay an additional refundable deposit together with an additional monthly rental fee. |
The Management relies on the information provided above to be complete and accurate in order for the application to be processed in a timely manner. Any false statements, misrepresentations, inaccurate information or failure to supply the information requested may serve as a rejection of your application. By signing this application, you are authorizing the use of any credit reporting/screening agencies to verify credit, validate the accuracy of the information reported. Further, your signature authorizes the management and the credit reporting/screening agencies to later exchange credit information.
I/We hereby deposit $35.00, which is a non-refundable payment for a credit and processing charge, receipt of which acknowledged by Management, such sum is not a rental payment. In the event this application is disapproved, this sum will be retained by Management to cover the cost of processing the application as furnished by applicant. This application must be signed before Management will process it. (Applicant’s Initials
)
The above information, to the best of my knowledge is true and correct.
I AUTHORIZE AN INVESTIGATION OF MY CREDIT, A CRIMINAL BACKROUND CHECK, TENANT HISTORY, BANKING AND EMPLOYMENT FOR THE PURPOSES OF RENTING AN APARTMENT FROM THIS OWNER/MANAGER |
| Name:
Date:
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| Credit Card Information: |
Card Number: |
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(We currently only accept Visa or Mastercard) |
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Exp. Month: |
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Exp. Year: |
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| Comments: |
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