| Please tell us about yourself... |
Full Name:
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Phone:
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Social Security Number:
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Driver's License Number:
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State:
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Name of Co-Applicant:
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Phone:
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Social Security Number:
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Driver's License Number:
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State:
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List all Occupants and their Date of Birth:
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| Please give us your residence history for the last 3 years (beginning with the most current) |
Current Address:
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Zip Code:
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Month and Year Moved In:
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Reason for Leaving:
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Owner or Agent:
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Phone:
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Monthly Payment:
$ |
Previous Address (if within 3 years):
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Month and Year Moved In:
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Year Moved Out:
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Reason for Leaving:
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Owner or Agent:
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Phone:
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Previous Address (if within 3 years):
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Month and Year Moved In:
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Year Moved Out:
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Reason for Leaving:
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Owner or Agent:
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Phone:
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| Please give us your residence history for the last 3 years (beginning with the most current) |
Your Status:
Employed Full-Time Employed Part-Time Student Retired Not Employed |
Current Employer (or most recent):
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Address:
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Phone:
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Dates Employed (From - To):
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Position:
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Supervisor:
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Your Net Monthly Salary:
$ |
Household Net Monthly Income:
$ |
Previous Employer:
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Address:
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Phone:
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Dates Employed (From - To):
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Position:
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Supervisor:
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| If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc) who we could 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.
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Amount:
$ |
Source:
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| Income Verification Required |
| Please list your bank and credit references: |
Your Bank(s):
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City-State/Branch:
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Telephone:
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Your Bank(s):
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City-State/Branch:
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Telephone:
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Your Credit References:
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City-State:
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Telephone:
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Your Credit References:
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City-State:
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Telephone:
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Your Credit References:
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City-State:
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Telephone:
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Total Number of Vehicles (including company vehicles):
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Make/Model:
Year: |
Color:
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Tag No/State:
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Make/Model:
Year: |
Color:
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Tag No/State:
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| Maximum of 2 Vehicles allowed |
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| Have you or your co-applicant ever: |
Been sued for non-payment of rent?
Yes No |
Been evicted or asked to move out?
Yes No |
Broken a Rental Agreement or Lease?
Yes No |
Been sued for damage to property?
Yes No |
Declared Bankruptcy?
Yes No |
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Include any additional information that might help management evaluate your application:
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How did you hear about our property?
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| If management has any questions about your application, please give Phone Numbers where you can be located: |
Day Phone:
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Night Phone:
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Read the following and tick "Yes" at the bottom of the text. By clicking yes, you are accepting the terms of the contract.
I hereby apply to lease the above described premises for the terms and upon the conditions above set forth and agree that the rental is to be payable the 1st day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application 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 fact the owner or his agent may reject, without stating any reason for so doing, the applicant, thereby waiving any claim for damages by reason of non-acceptance, I hereby deposit a NON-REFUNDABLE application fee in the amount of $50.00.
Upon acceptance of this application, I will have three (3) business days to submit a NON-REFUNDABLE "Holding Fee" in the amount of $200.00 in the form of a money order, which will be applied towards the first month's rent. If I fail to execute a twelve (12) or sixteen (16) month lease for the above described premises, the "Holding Fee" will be forfeited as liquidated damages in payment for the agent's time and effort in processing my inquiry and application, including making necessary investigation of my credit, character, and reputation.
I RECOGNIZE THAT AS A PART OF YOUR PROCEDURE FOR PROCESSING MY APPLICATION, AN INVESTIGATIVE CONSUMER REPORT MAY BE PREPARED WHEREBY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS, AND OTHERS WITH WHOM I MAY BE ACQUAINTED. THIS INQUIRY INCLUDES INFORMATION AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS, AND MODE OF LIVING. I UNDERSTAND THAT I MAY HAVE THE RIGHT TO MAKE A WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME TO RECEIVE ADDITIONAL, DETAILED INFORMATION ABOUT THE NATURE AND SCOPE OF THIS INVESTIGATION.
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| I agree to the terms stated above, and certify that the information given in this application is, to the best of my knowledge, true and correct. |
| Yes No |
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