APPLICATION FOR RENTAL

EACH ADULT APPLYING FOR UNIT MUST COMPLETE A SEPARATE APPLICATION

PLEASE PRINT - ALL information must be completed. All blanks must be filled in. The
decision to rent to you will depend in great part on your credit history and references.
Only clean, responsible people, who pay rent on time, need apply.

YOUR PERSONAL INFORMATION

Full Name ___________________________________________________ Phone (_______)___________________ Work Phone (_______)_________________

Social Security Number ________-_____-_________ Current Driver's License #____________________________________________ State: _________________

Present Address __________________________________________________ Email Address: ____________________________________________________

City ___________________________________________________________________ State: ____________ Zip: ____________________________

How Long? __________ If renting, Apartment name/location _________________________________ Phone (Yours) (_____)__________________

Landlord/mgr's name _______________________________________________________________ Phone: (_____)__________________

Why are you leaving? ________________________________________________________________________________________________________

________________________________________________________________________________________________ Current Rent: $____________

Previous Address _____________________________________________________________________________________________________________________

City ___________________________________________________________________ State: ____________ Zip: ____________________________

How Long? __________ If renting, Apartment name/location _______________________________________ Phone: (_____)__________________

Landlord/mgr's name _______________________________________________________________ Alternate Phone: (_____)__________________

Why did you leave? __________________________________________________________________________________________________________

Present Employer ________________________________________________________________ Position: __________________________ How Long? _________

Address ____________________________________________________________________________________ Phone: (_____)__________________

Gross Monthly Income before deductions: $______________ Other Income: $_______________ Source: ___________________________________

Former Employer _____________________________________________________________ Position: __________________________ How Long? _________

Address ____________________________________________________________________________________ Phone: (_____)__________________

Why did you leave? __________________________________________________________________________________________________________

PLEASE CONTINUE ON NEXT PAGE

Bank __________________________________________ Acct #( s) _________________________ Branch ___________ Checking: [ ]: Savings [ ]: Loan [ ]:

City __________________________________________________ State _________ Approx. Balance $_____________________ How Long? _______

Other Active Credit Ref: ______________________________________________ Account # ______________________________ Exp. Date: _________

Type of Account: ___________________ Credit Limit: $_____________ How Long? ________ Are all payments current? YES : NO :

Other Active Credit Ref: ______________________________________________ Account # ______________________________ Exp. Date: _________

Type of Account: ___________________ Credit Limit: $_____________ How Long? ________ Are all payments current? YES : NO :

Have you ever been evicted? YES : NO : Have you ever had a foreclosure/repossession? YES , Date _________________: NO :

If yes, explain: ______________________________________________________________________________________________________________

Have you ever filed for bankruptcy? YES , Date _______________________: NO : If yes, Chapter 7  or Chapter 13 ?

Explain: ___________________________________________________________________________________________________________________

Have you ever been convicted of a crime, other than a traffic violation? YES : NO :

If yes, explain: ______________________________________________________________________________________________________________

PERSONAL REFERENCES - List three persons, OTHER THAN YOUR RELATIVES, that we may contact to verify your character.

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________

Address __________________________________________ City ___________________________________ State ______ Zip ___________________

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________

Address __________________________________________ City ___________________________________ State ______ Zip ___________________

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________

Address __________________________________________ City ___________________________________ State ______ Zip ___________________

EMERGENCY - In an emergency you may contact (List two, other than spouse/roommate, nearest relatives first)

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________

Address __________________________________________ City ___________________________________ State ______ Zip ___________________

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________

Address __________________________________________ City ___________________________________ State ______ Zip ___________________

PLEASE CONTINUE ON NEXT PAGE

Name ______________________________________________________ Name _______________________________________________________

Name ______________________________________________________ Name _______________________________________________________

* Pets: Name ____________________ Type __________ Weight ____ lbs. Name ____________________ Type __________ Weight ____ lbs.

* NOTE: No pets are allowed at any time on the premises without prior Management consent and payment of fees - NO EXCEPTIONS

Date of desired occupancy _______________ Anticipated length of stay ______________ Interested in Rent-to-Own? _________________

Do you own: Vacuum cleaner : Lawn mower : Water bed : Musical instruments : Does anyone smoke? Yes : No :

List all motor vehicles, including recreational vehicles, to be kept at the property:

MAKE MODEL COLOR YEAR LICENSE PLATE # STATE MONTHLY PAYMENT

________ ________ ________ _______ ________________ __________ $_____________________

________ ________ ________ _______ ________________ __________ $______________________

________ ________ ________ _______ ________________ __________ $______________________

________ ________ ________ _______ ________________ __________ $______________________

The undersigned expressly agrees that if this application is approved applicant herewith agrees to rent this property.
Applicant further agrees that if applicant is accepted by Management and then decides, for any reason, not to move into the
premises, then all monies paid herewith shall be retained 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. Processing
of application shall be as timely as possible and the results may be delivered via telephone, fax or mail. Once approved,
applicant agrees to pay the balance of funds and complete the paperwork within 48 hours, otherwise management will assume
that applicant has decided to forfeit the reservation/earnest money payment made herewith and will begin re-marketing the
property. If applicant is not approved, all monies given herewith, less application fee shown above, shall be returned to
applicant. Applicant understands and agrees that rent begins as of the day after application approval and will be prorated for
the following month.
A PHOTOCOPY OF:
1. MY DRIVER'S LICENSE OR PICTURE IDENTIFICATION CARD, AND
2. LATEST PAY CHECK STUB

I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release
the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the
purposes of entering into and continuing to offer or collect on any agreement and/or credit extended. I further authorize
Management or their Authorized Agents to verify the application information including but not limited to obtaining criminal
records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the
time of the application 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 this application, or Management may at any time immediately terminate
any agreement entered into in reliance upon misinformation given on this application.

____________________________________________ ______________
Applicant’s Authorization Date