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      Address of property for which you are applying:*

      Anticipated move date:*

      PLEASE TELL US ABOUT YOURSELF

      Full Name*

      Email Address*

      Phone*

      Date of Birth*

      SSN*

      Education: High School Graduation Year.*

      GED Completion Year

      College/College Degree

      Trade school

      Your Driver’s License Number*

      State*

      Every person over 18 that will be residing in this unit must supply the following information.

      Co-Applicant #1 Name

      Co-Applicant Date of Birth

      SSN

      Co-Applicant Driver’s License Number

      State

      Co-Applicant #2 Name

      Co-Applicant Date of Birth

      SSN

      Co-Applicant Driver’s License Number

      State

      Co-Applicant #3 Name

      Co-Applicant Date of Birth

      SSN

      Co-Applicant Driver’s License Number

      State

      Co-Applicant #4 Name

      Co-Applicant Date of Birth

      SSN

      Co-Applicant Driver’s License Number

      State

      Name of Dependent

      Dependent’s Date of Birth

      Name of Dependent

      Dependent’s Date of Birth

      PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)

      Current Address*

      Apt#

      State*

      City*

      Zipcode*

      Month/Year Moved In

      Reasons for Leaving

      Rent $

      Owner/Agent

      Phone #

      Previous Address (last 3 years)

      Rent $

      Reasons for Leaving

      Owner/Agent

      Phone

      PLEASE DESCRIBE YOUR CREDIT HISTORY

      Have you declared bankruptcy in the past seven (7) years?*YesNo

      Have you ever been evicted from a rental residence?*YesNo

      Have you had two or more late rental payments in the past year?*YesNo

      Have you ever willfully or intentionally refused to pay rent when due?*YesNo

      PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION

      Your Status?*Full-TimePart-TimeStudentUnemployedOther

      Employer

      Dates Employed From:

      To:

      Employed as

      Supervisor Name

      Phone #

      Salary $

      per

      If employed by above less than 12 months, give name & phone of previous employer or school:

      Co-Applicant #1 Status?

      Full-TimePart-TimeStudentUnemployedOther

      Employer

      Dates Employed From:

      To:

      Employed as

      Supervisor Name

      Phone #

      Salary $

      per

      If employed by above less than 12 months, give name & phone of previous employer or school:

      Co-Applicant #2 Status?

      Full-TimePart-TimeStudentUnemployedOther

      Employer

      Dates Employed From:

      To:

      Employed as

      Supervisor Name

      Phone #

      Salary $

      per

      If employed by above less than 12 months, give name & phone of previous employer or school:

      Co-Applicant #3 Status?

      Full-TimePart-TimeStudentUnemployedOther

      Employer

      Dates Employed From:

      To:

      Employed as

      Supervisor Name

      Phone #

      Salary $

      per

      If employed by above less than 12 months, give name & phone of previous employer or school:

      Co-Applicant #4 Status?

      Full-TimePart-TimeStudentUnemployedOther

      Employer

      Dates Employed From:

      To:

      Employed as

      Supervisor Name

      Phone #

      Salary $

      per

      If employed by above less than 12 months, give name & phone of previous employer or school:

      If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, Social Security etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.

      Amount$

      Source/Contact Name

      **Proof of Employment and income must be made – copy of last pay stub or other similar verification.

      Please upload pictures of paystub below:

      PLEASE LIST YOUR REFERENCES

      Personal References – please list two references that can be contacted.

      Reference #1 Name

      Address

      Phone

      Relationship

      Reference #2 Name

      Address

      Phone

      Relationship

      Emergency Contact person: in case of emergency please contact:

      Name

      Address

      Phone

      Relationship

      ADDITIONAL INFORMATION:

      Bank Information – I currently have an account at

      Account Type*:

      SavingsChecking

      Please give any additional information that might help owner/management evaluate this application?

      I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the security deposit will be retained to offset the agent’s cost, time, and effort in processing my application.

      I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

      The above information, to the best of my knowledge, is true and correct.

      Name of Applicant*

      Date*

      AUTHORIZATION
      Release of Information
      I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/manager.

      Name of Applicant*

      Date*