Rental Application Name: First / Middle / Last Birth Date Social Security # Drivers License # Email * Phone (###) ### #### Other Proposed Occupants / Name / Birth Date / Relationship to Applicant Rental / Residence History Current Address Owner / Manager / Name & Phone Number Reason for leaving Is/Was rent paid in full? Yes No Did you give a notice? Yes No Were you asked to move? Yes No Dates of Residency / From - To Previous Address Owner / Manager / Name & Phone Number Reason for leaving Is/Was rent paid in full? Yes No Did you give a notice? Yes No Were you asked to move? Yes No Dates of Residency / From - To Employment History Current Employer Employer Address Employer Phone Occupation Name of Supervisor Monthly Gross Pay Dates of Employment / From - To Previous Employer Employer Address Employer Phone Occupation Name of Supervisor Monthly Gross Pay Dates of Employment / From - To Vehicles Year / Make / Model / Color / License Plate General Information Have you ever been served a late rent notice? Do any of the people who would be living in the property smoke? How long do you think you would be renting from us? Have you ever filed for bankruptcy? If so, when? When would you be able to move in? Have you ever been convicted of a felony? Yes No Have you ever been served an eviction notice? Yes No Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain: Why are you moving from your current address? List any verifiable sources and amounts of income you wish to have considered (optional): Have you been a party to a lawsuit in the past? If yes, please explain why: We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on? How did you hear about this property? Agreement & Authorization * I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a property and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of criminal and credit checks and I am not entitled to a refund even if I don’t qualify. Yes, I Agree Thank you!
