RENTAL APPLICATION / INQUERY

Fields marked * are mandatory

PROPERTY INTRESTED IN *Which Property where you intrested in renting? *How much was the rent? *Where did you hear about its availability?

APPLICANT INFO *Name *SSN *Dob *Drivers License State *Drivers license # *E-mail *Cell Phone Other Phone Permanent address if applicable (123 street st, city, state, zip)

RENTAL HISTORY *Is this your first Apt on your own? Yes No *Present Address *Name of Landlord *Landlord # *Monthly Rent *Reason for leaving *Length of occupency Prior Address Name of Landlord Landlord # Monthly Rent Reason for leaving Length of occupency

EMPLOYMENT HISTORY *Are you a Student: Yes No *Where do you attend *Expected Graduation Current Employer Position Manager Manager # Length of employment Previous Employer Position Manager Manager # Length of employment

REFERENCES & EMERGENCY CONTACT *Referance Name 1 *Relationship *Phone Referance Name 2 Relationship Phone Referance Name 3 Relationship Phone *Emergency contact 1 *Relationship *Phone Emergency contact 2 Relationship Phone Emergency contact 3 Relationship Phone

OTHER PROPOSED TENANTS *please note applicants over 18 may also be required to fill out this form. Name DOB Relationship To Applicant Name DOB Relationship To Applicant Name DOB Relationship To Applicant Name DOB Relationship To Applicant

ADDITIONAL QUESTIONS *Do any of the people you live with smoke? Yes No *Please explain: *Do you have any pets? Yes No *Please explain: *Have you ever been served a late rent notice? Yes No *Please explain: *Have you ever been evicted? Yes No *Please explain: *Have you ever filed for bankruptcy? Yes No *Please explain: *Will any of your rent be paid by a government agency? Yes No *Please explain: *If we decide to run a credit check or criminal background check, is there anything negative that we might find you would like to comment on? Yes No *Please explain: *Is there any addational info you would like to provide? *Do you have any addational questions for us?

AGREEMENT & AUTHORIZATION I represent that the information provided in this application is true to the best of my knowledge. I hereby authorize a credit and/or criminal check to be made if chosen to do so as well as, verification of any information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part.   *Initials *Date *I acknowledge receipt of a copy of this application will be sent to the email I provided upon hitting submit.