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Full Name*
Date of Birth*
Email*
Your Phone Number*
Current Address (City, State, Zip-Code)
SSN*
Current Monthly Rent $
Application Date
Do You (Please Select One) —Please choose an option—RentOwnOther
If Rented is it in your name? —Please choose an option—YesNo
When Is Current lease Expiring?
Landlord or Management Name
Phone Number
Former Address (City, State, Zip-Code) (Within Last 2 Years)
Employer
Address (City, State, Zip-Code)
Currently Working? —Please choose an option—YesNo
Occupation
Hire Date
Weekly Gross Salary $
School Name
Gradutaion Date
Program —Please choose an option—GradUnder GradFull-TimePart-Time
Can Have a Co-Signer? —Please choose an option—YesNo
Currently Working? —Please choose an option—YesNoPart-Time
Full Address (City, State, Zip-Code)
Lease Term (Months)
Move In Date
Applied Apartment Number
Number of Occupants
Number of Adults
Number of Minors
Reference Full Name
Emergency Full Name
Have you declared bankruptcy in the past seven (7) years? YesNo
Have you ever been Evicted from a rental residence? YesNo
Have you had two or more late rental payments in the past year? YesNo
Have you ever willfully or intentionally refused to pay rent? YesNo
How did you hear about us? —Please choose an option—NewspaperFriend's ReferralWebsiteTelephone DirectoryInternetSign at ApartmentOther
* This is an application form. The applicant understands that all information will be verified and credit bureau reports completed, of which the contents will be shared with the Landlord. Until the landlord has approved the application, no tenancy has been created and you have no rights to this Landlord. The rental agent has no power to make any representations as to whether or not this application has been accepted or denied by the Landlord. If denied, applicant’s sole remedy shall be the return of any deposit made hereunder. Any person signing on behalf of an applicant warrants and represents that said person has the authority to sign on behalf of such applicant. Any deposit hereunder shall be deemed made by such applicant regardless of whether the applicant personally signs or through a representative and such by signing in such capacity waives all rights to such deposit. The undersigned warrants and represents that all statements contained in this application are true, and recognized that the landlord will execute a lease in reliance upon the truthfulness thereof. Applicant agrees to execute a Standard Apartment Lease, as from time to time revised, and on the terms and conditions contained herein. Any deposit made by applicant, up to one month’s rent, may be retained by Landlord as liquidated damages for failure of applicant to execute such Lease, make any payment hereunder, or if such Lease is terminated prior to occupancy for the untruth of any statement contained herein. The above information, to the best of my knowledge, is true and correct.
* An investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/ manager. I authorize the checking of all the above.
Signature*
Signed By* (Full Name)
Date
