Application is Hereby Given for the Following Apartment

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Rental Application

Please Print

  Personal Information

Last Name

First

Initial  

Date of Birth

Social Security #

Drivers Lic. #


Applicant #1		      

Applicant #2		      
All Other
Residents		      


      


      

Number of Automobiles		 Make Model Lic Plate #

Closest Relative Name		 Relationship Telephone #

Closest Relative Address

Telephone Number Where Applicant Can Be Reached:  Area Code (          )

Residence History

(Include City, Zip Code & Area Code)


Present Address		 Present Telephone #

Landlord		 Landlord Telephone #

Monthly Rent $		 Utilities Included in Rent

Time at Present Address		 Reason for Moving

Previous Address		 Previous Telephone #

Landlord		 Landlord Telephone #

Monthly Rent $		 Utilities Included in Rent

Time at Previous Address		 Reason for Moving
Have you ever been asked to move,
been evicted or broken a lease?		 If yes, explain.

Employment History

Applicant #1
Current Employer		 Address Telephone #
Position How Long Salary $ Per Hour / Week / Year

Previous Employer		 Address Telephone #
Position How Long Salary $ Per Hour / Week / Year
Applicant #2
Current Employer		 Address Telephone #
Position How Long Salary $ Per Hour / Week / Year

Previous Employer		 Address Telephone #
Position How Long Salary $ Per Hour / Week / Year


 
Other Income and Personal Reference

Other Income $ Source
Bank How Long
Personal Reference Telephone #
Address Position

Address		 Apartment #

Rent $		 Security Deposit $ Specials Offered

Occupancy Date - Rent Starts on This Date (No Holidays)		 To

Please Read The Following Before Signing Application

It is understood that all occupants to reside at the above apartment must appear on this application, and all occupants to reside at the above apartment must sign the lease before keys can be released.
 
The undersigned represents that the above statements are true and complete and hereby authorize verification of information and references given, background and credit checks to be performed.  This application and the information it contains is hereby expressly incorporated in to the lease signed by the undersigned for the above-mentioned apartment and the undersigned agrees that any incorrect information supplied by them on this application is a breach of the lease..
 
INSURANCE: Owner and agent carry no insurance on the personal property or tenants. It is recommended that you obtain insurance coverage.
 
Security deposits given will be refunded only if credit is NOT approved.

Applicant		 Date

Applicant		 Date

Applicant		 Date
 
Office Use Only Reference Verification Office Use Only
Present Landlord
Previous Landlord
Employment
Credit Bureau
Bank/Other
 
  Approved
  Not Approved - Reason
  Date Called By
 
Office Use Only Utilities Office Use Only
Electric Date By Comments
Gas Date By Comments
Water Date By Comments