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Residential Lease Application
About You
Desired Move-In Date
First Name
Last Name
Former Last Name (maiden or married)
Is there a co-applicant? Co-applicant must submit a separate application.
Home Phone
Work Phone
Cell Phone
Email
Emergency Contact Name
Emergency Contact Phone
Social Security Number
Driver License # & State
Date of Birth
Height
Weight
Eye Color
Hair Color
Marital Status
Citizenship (Country)
Names of all other persons who will occupy the Property:
Name, Relationship, & Age
Name, Relationship, & Age
Name, Relationship, & Age
Name, Relationship, & Age
Applicant's Current Address
Landlord's Name
Landlord's Phone (Day)
Landlord's Phone (Night)
Landlord's Phone (Mobile)
Date Moved-In
Date Moved-Out
Rent $
Reason for move
Applicant's Previous Address
Previous Landlord's Name
Landlord's Phone (Day)
Landlord's Phone (Night)
Landlord's Phone (Mobile)
Date Moved-In
Date Moved-Out
Rent $
Reason for move
Applicant's Current Employer
Supervisor's Name
Supervisor's Phone (Day)
Supervisor's Phone (Fax)
Start Date
Gross Monthly Income $
Position
Applicant's Previous Employer
Supervisor's Name
Supervisor's Phone (Day)
Supervisor's Phone (Fax)
Start Date & End Date
Gross Monthly Income $
Position
Describe other income you want to be considered
Bank Name & Phone where Landlord may verify good funds, for any rent, fee, or deposit.
List all vehicles to be parked on the Property: (Year, Make, Model, License#)
Vehicle 1
Vehicle 2
Vehicle 3
List all pets to be kept on the Property: (*Additional deposits will apply)
Pet 1
Pet 2
Please answer the following questions & provide an explanation if needed:
Will any waterbeds or water-filled furniture be on the property?
Does anyone who will occupy the Property smoke?
Will the Applicant maintain renter's insurance?
If the Applicant is military, is the Applicant serving under orders limiting the Applicant to stay one year or less?
Has the applicant ever: If Yes, please provide an explanation in the space provided.
been evicted?
been asked to move out by a landlord?
breached a lease or rental agreement?
filed for bankruptcy?
lost property in foreclosure?
had any credit problems?
been convicted of a crime?
Is any occupant a registered sex offender?
Are there criminal matters pending against any occupant?
Is there additional information Applicant wants considered?

 

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