This Application is For Property at:
Projected Move In Date:
PERSONAL INFORMATION
Name:
Date of Birth:
Social Security Number:
Driver's License #:
Home Phone:
Cell Phone:
Current Address: (Street, City, State, Zip)
How Long At Present Address?:
Reason For Moving:
Current Rental Amount ($):
Current Landlord:
Current Landlord's Phone:
Was Notice Given?:	Yes No
Previous Address: (Street, City, State, Zip)
Previous Landlord's Name:
Previous Landlord's Phone:
How Long at Address?:
Reason For Moving:
Monthly Rent Amount ($):
Names of Additional Occupants:
How Many Pets?:
What Breed? Weight? Size?:
How Many Smokers?:
FINANCIAL INFORMATION
Occupation:
Hours:	Full Time Part Time (Less Than 32 Hrs)
Position:
Employer:
Employment Contact:
Contact Phone Number:
Employer Address: (Street, City, State, Zip)
How Long at Current Job?:
Gross Monthly Income:
Previous Employer:
How Long Employed?:
Why Did You Leave?:
Gross Monthly Income:
Credit Reference 1: (Credit Card, Loans etc.)
Creditor Name:
Balance:
Monthly Payment:
Credit Reference 2: (Credit Card, Loans etc.)
Creditor Name:
Balance:
Monthly Payment:
Credit Reference 3: (Credit Card, Loans etc.)
Creditor Name:
Balance:
Monthly Payment:
Personal Reference 1: (Name, Phone Number, Relationship)
Personal Reference 2: (Name, Phone Number, Relationship)
BACKGROUND INFORMATION
How Long Have You Lived In The Area?:
Expected Length of Stay:
Do You Have A Waterbed?:	Yes No
Ever Broken A Lease?:	Yes No
Ever Had A Judgment Against You?:	Yes No
Ever Had Rental Security Not Returned?:	Yes No
Ever Been Evicted or Asked To Move?:	Yes No
Any History of Drug Use or Offenses?:	Yes No
Ever Been Convicted of a Felony?:	Yes No
Please Explain Any "Yes" Answers Above:
Do You Currently Have Renters Insurance?:	Yes No
List All Utilities Currently In Your Name:
If You Do Not Qualify, Would You be Able To Get a Co-Signer Who Owns Real Estate?:	Yes No
If Yes, Name of Co-Signer:
Relationship With Co-Signer:
Co-Signer Phone #:
Co-Signer Address: (Street, City, State, Zip)
Emergency Contact Person:
Emergency Contact Phone #:
Emergency Contact Address: (Street, City, State, Zip)
VEHICLE INFORMATION
Vehicle #1: (Year, Make, Model, Color)
Plate #:
VIN #:
Vehicle #2: (Year, Make, Model, Color):
Plate #:
VIN #:
Additional Vehicles: (Include Campers, RVs, Boats, Motorcycles)
How Did You Hear About The Vacancy?:
How Do You Desire To Make Rent Payments?:	Monthly Every Two Weeks (14 Days) Weekly
Do You Desire Direct Withdraw From Your Bank Account?:	Yes No
Bank Name:
Bank Account #:
To Avoid Late Rent Are You Willing To Provide A Credit Card Number?:	Yes No
By clicking submit below, applicant(s) represents that all information in this application is true and complete under Penalty of Perjury. Applicant(s) hereby authorizes a credit and police check, judgment search, and verification of references.  Applicant(s) understands that if any information is found to be false or misleading the application fee and all deposit money being held by Landlord will not be returned.  Applicant(s) further agrees that Landlord may end the lease immediately if any false information has been provided in this application after move in.  Renters insurance is required if bringing a pet.

                                                              

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