Apply Here Application to Rent (all sections must be completed) Individual applications required from each occupant 18 years of age or older APPLYING FOR:Apt No.(Required)Located at(Required) Rent Amt(Required) Per(Required) How did you hear about rental?(Required) Expected Move-In Date:(Required) MM slash DD slash YYYY Name:(Required) First Middle Last Phone:(Required)Cell Phone:E-Mail:(Required) Social Security #:Driver's Lic and State: Birthdate:(Required) MM slash DD slash YYYY LIST ALL ADDITIONAL OCCUPANTS WHO WILL RESIDE IN UNITEmail Address of Primary Applicant:(Required) Name:(Required) First Last Date of Birth:(Required) MM slash DD slash YYYY Name: First Last Date of Birth: MM slash DD slash YYYY Name: First Last Date of Birth: MM slash DD slash YYYY Name: First Last Date of Birth: MM slash DD slash YYYY RENTAL HISTORYCurrent Address:(Required) Street & Unit# City State / Province / Region ZIP / Postal Code How Long: From (Month/Day/Year): MM slash DD slash YYYY To: MM slash DD slash YYYY Rent Paid: Owner/Manager: Tel:Reason for leaving: Previous Address: Street & Unit# City State / Province / Region ZIP / Postal Code How Long: From (Month/Day/Year): MM slash DD slash YYYY To: MM slash DD slash YYYY Rent Paid: Owner/Manager: Tel:Reason for leaving: Second Previous Address: Street & Unit# City State / Province / Region ZIP / Postal Code How Long: From (Month/Day/Year): MM slash DD slash YYYY To: MM slash DD slash YYYY Rent Paid: Owner/Manager: Tel:Reason for leaving: CURRENT EMPLOYMENTCompany Name:(Required) Address:(Required) Phone:Occupation:(Required) Monthly Salary: $(Required)Name of Supervisor: Dates of Employment - From: MM slash DD slash YYYY To: MM slash DD slash YYYY PREVIOUS EMPLOYMENTCompany Name: Address: Phone:Occupation: Monthly Salary: $Name of Supervisor: Dates of Employment - From: MM slash DD slash YYYY To: MM slash DD slash YYYY ADDITIONAL INFORMATION1. In the last 5 years have you:Had any credit problems?(Required) Yes No If yes, explainHad an unlawful detainer filed against you?(Required) Yes No If yes, explainBeen evicted for non-payment of rent or for any other reason?(Required) Yes No If yes, explainFiled bankruptcy?(Required) Yes No If yes, explain2. Do you have any animals?(Required) Yes No If yes, How many?Describe:3.(Required) Smoking Non-Smoking BANKING INFORMATIONName of Bank/S&L/Credit Union:(Required) Branch Address:(Required) Checking: Approx. Bal.(Required)Savings: Approx. Bal.(Required)Name of Bank/S&L/Credit Union: Branch Address: Checking: Approx. Bal.Savings: Approx. Bal.CREDIT REFERENCES (Credit Cards/Car Payments/Other Loans)CREDIT REFERENCES (Credit Cards/Car Payments/Other Loans)Company Name:Present Balance: Add RemovePERSONAL REFERENCESPERSONAL REFERENCES(Required)NameAddress & CityPhoneTime KnownRelationship Add RemoveEMERGENCY CONTACTName:(Required) Address:(Required) Relationship:(Required) Phone:(Required)VEHICLES (Operable Automobiles including Trucks, Vans, Motorcycles)VEHICLES (Operable Automobiles including Trucks, Vans, Motorcycles)(Required)Year:Make:Model:Color:License#State: Add RemoveTotal credit screening cost per applicant is $ Applicant represents that all of the above statements are true and correct and hereby authorizes their verification including, but not limited to, the obtaining of a credit report and agrees to furnish additional credit references on request. Owner/Agent is authorized to obtain a credit report now. In connection with my application for rental and/or employment, I understand that background inquires may be made on myself including consumer, criminal, driving and other reports. Employment reports may include information as to my character, work habits, performance and experience along with reasons for termination of past employment from previous employers. I understand that information may be requested from various federal, state and other agencies and entities, public and private, which maintain records concerning my past activities relating to driving, credit, criminal, civil and other experiences as well as claims involving me in insurance company files. I authorize, without reservation, any party or agency contacted, to furnish completely and without limitation, any and all of the above mentioned information and any other information related thereto. Further, I will release from liability and will defend and hold harmless all requesters and suppliers of information in accordance herewith. The undersigned makes application to rent housing accommodations designated for the amount and location as set forth above and upon approval of this application agrees to sign a rental or lease agreement and to pay all sums due, including requested deposits before occupancy. Applicant understands and agrees (i) this is an application to rent only and does not guarantee that applicant will be offered the premises; and (ii) landlord, agent, or manager, may accept more than one application for the premises.Date MM slash DD slash YYYY Resident
