Notice: Co-Applicant must complete a separate Rental Application Form

The undersigned hereby makes application to rent unit number _______ located at _______ beginning on  _________________ 200______ at a monthly rental $ ___________.

FULL NAME: ___________________________ Phone: _______________________
Date of Birth: _____________________________ Social Security Number _________________
Driver's Lic & State _____________________________________________
Name of Co-Applicant __________________________________________________
Date of Birth: _____________________________ Social Security Number _________________
Driver's Lic & State _____________________________________________
Names of All Other Occupants_____________________________________________________
_____________________________________________________________________________
Total Number of Occupants ____________________________________________
How many Pets _________ Kind of Pet, Breed, Weight and Age ____________________________

CURRENT ADDRESS: ________________________________________________
Month and Year Moved In __________________ Reason for leaving _____________________
Owner or Agent ________________ Phone (        ) ____________ Monthly Payment $  _________

PREVIOUS ADDRESS: ________________________________________________
Month and Year Moved In __________________ Reason for leaving _____________________
Owner or Agent ________________ Phone (        ) ____________ Monthly Payment $  _________

PREVIOUS ADDRESS: _______________________________________________
Month and Year Moved In __________________ Reason for leaving _____________________
Owner or Agent ________________ Phone (        ) ____________ Monthly Payment $  _________

Your Status: ___ Employed Full-Time ____ Employed Part-Time ___Student ___Retired ___ Not Employed

Current (or most recent) Employer ___________________________________________________
Address __________________________________________Phone: _______________________
Date(s) Employed from ________To: ____________ Position_____________________________
Supervisor ____________________________
Your Gross Monthly Salary $ ____________ Household Gross Monthly Income $_______________

Previous Employer ______________________________________________________________
Address __________________________________________Phone: _______________________
Date(s) Employed from ________To: ____________ Position_____________________________
Supervisor ____________________________
 

If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc)  who we can 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.

Amount $________Per _______ Source _________________________Telephone_____________

TOTAL NUMBER OF VEHICLES (Including Company Vehicles)  _______________________________

MAKE/MODEL _____________YEAR_____ COLOR ________  TAG NO./STATE___________
MAKE/MODEL _____________YEAR_____ COLOR ________  TAG NO./STATE___________
Other Car, Motorcycle, etc _________________________________________________________

HAVE YOU OR CO-APPLICANT EVER: been sued for non-payment of rent?  ___Yes ___ No
Been evicted or asked to move out? ___ Yes ___No
Been sued for damage to rental property? ___ Yes ___No
Broken a Rental Agreement or Lease? ___ Yes ___ No
Declared Bankruptcy? ___ Yes ___ No

Please Give any Additional Information which might help management evaluate this application:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

How did you hear about us? _____________________________________________

If management has any questions about this applications, please give phone numbers where you can be located.

Day Phone(s) ______________________ Night Phone(s)______________________

I AUTHORIZE YOU TO CONTACT CONTACT PREVIOUS LANDLORD(S), CREDIT AND PERSONAL REFERENCES THAT I HAVE GIVEN IN THIS APPLICATION. I ALSO AUTHORIZE MANAGEMENT TO OBTAIN MY CONSUMER CREDIT REPORT.

The above information, to the best of my knowledge, is true and correct.

Signature of Applicant _________________________ Date Signed _______________

Signature of Co-Applicant _______________________ Date Signed _______________