Application for Rental

One application for each adult applicant (18 years of age or older).

A $1.00 application fee will be required to submit your application.

*All requested information on this application must be completed

Application Type Leasing Agent Rental Property Applying For
Bedroom # Unit Desired Date of Occupancy

Have you attended a showing of the apartment

How did you hear about us?

Personal Information

First Name* Middle Name* Last Name* Social Security Number* Date of Birth* Cell Phone* Work Phone Email* Vehicle Make Vehicle Model Vehicle Color Vehicle Year License Plate # Please list any pets Other Occupant's First Name Other Occupant's Last Name

Rental History

Current Address* City* State* Zip* Length of Residence* Landlord* Phone Number* Current Rent $/Month* Reason for Leaving* Previous Address City State Zip Landlord Phone Number Rent $/Month Reason for Leaving

Employment History

Future/Current Employer* Employer's Address* City* State* Zip Code* Current Position* Starting Date How Long With this Employer* Supervisor's Name* Employer's Phone Number* Gross Annual Income* $ Other Income $

Personal Reference/Emergency Contact

First Name* Last Name* Current Address* City* State* Zip* Phone Number* Relationship

Terms & Conditions

I agree to the .

Terms & Conditions

Individual Release Authorization:

I hereby authorize the Landlord/Landlord's Agent to verify my past and present employment earning records, income sources, bank accounts, rental history, tenancy habits, credit and criminal history along with explanations for termination of past rental agreements. I understand that these items are needed to process my application for tenancy with this Landlord.

I further authorize this Landlord/Landlord's Agent to order a consumer credit report and verify other credit information including past and present tenancy/mortgage and landlord references. It is understood that a copy of this form will also serve as authorization.

I am the person named below and I understand that federal law provides that a person who obtains information from a consumer reporting agency under false pretences may be subject to criminal penalties.

According to the "Fair Credit Reporting Act", I am entitled to know if tenancy is denied because of information obtained by my prospective Landlord/ Landlord's Agent from a consumer credit reporting agency. If so, I will be notified by the Landlord/Landlord's Agent and will be given the name of the agency or the source of the information.

The information the Landlord/Landlord's Agent obtains is only to be used in the processing of my application for tenancy.

If accepted, I hereby agree to enter into a lease as agreed or at least to rent the apartment on a month-to-month basis with a two month notice to terminate tenancy. If I refuse to accept the apartment after this application is accepted, my earnest money deposit may be used to pay Landlord's damages.

The Landlord/Landlord's Agent shall be allowed sufficient time to check credit references before returning the earnest money deposit, but in no case more than 21 calendar days after acceptance of the earnest money.

I have 7 days after occupancy to inspect the dwelling unit and notify the Landlord of any preexisting damages or defects and may request in writing a list of physical damage or defects, if any, charged to the previous tenant's security deposit.

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