Application for Lease
All Applicants and Guarantors who will be parties to the Lease must complete a separate Application.
Today__________
Property Address________________________________________________________________
Monthly Rent $__________ Security Deposit $ __________ Pet Deposit $ __________ Other Deposit $ _________________
Lease Term from _______________________________, 20________ to ____________________________________, 20________
Requested Move-In Date ____________________________________ Amount Due at Move-In $ ____________________
SMOKING
IS
IS NOT permitted.
PETS
ARE
ARE NOT permitted. If permitted, Max#____ Max Wt ____
PERSONAL INFORMATION
The Lease will require Guarantor(s). Separate application(s) are attached for each Guarantor.
PET INFORMATION:
# Dogs _____ Weight: ________ Breed: ______________________ Age: _______ Name: ______________________________
Weight: ________ Breed: ______________________ Age: _______ Name: ______________________________
# Cats _____ Age(s): _______________________ Name(s): ________________________________________________________
NAME OF APPLICANT
: ____________________________________________________________________________________
Date of Birth: ____________ Phone: ________________ Email: _____________________________________________________
SSN: _________________________ Drivers License or State ID # _______________________________________ ST _________
Employer: __________________________ Address: _______________________________________________________________
Your Occupation: _______________________ _____________________________ Annual Gross Income: $ _________________
Supervisor: ______________________________Phone: ____________ __________ How Long with this Employer? _________
If less than two (2) years with this employer, name of previous employer, contact information and length of employment:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Other source of income that you would like us to consider: _______________________________________ $ ______________
Present Address : ____________________________________________________________________________________________
Rent ____ Own _____ How Long at this Address: ____________ If Rental, Monthly Rent Amount: $____________________
Current Lease Expires: ______________ Reason for Moving:_______________________________________________________
Name of Landlord or Contact: ___________________________________________ Phone: ______________________________
Previous Address : __________________________________________________________________________________________
Rent ____ Own ____ How Long at this Address: _____________ If Rental, Monthly Rent Amount: $____________________
Name of Landlord or Contact: ____________________________________________ Phone: _____________________________
HAVE YOU EVER:
(1) Been a party to a Bankruptcy or Foreclosure proceeding? Yes ____ N
No _____
(2) Willfully or intentionally refused to pay rent or mortgage when due? Yes _____
No ___
(3) Been served an eviction notice or been asked to vacate a property you were renting or owned? Yes ____
N No______
If answers to any of the above are Yes, please explain: _________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
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PERSONAL REFERENCES
Name
Relationship
Phone
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
FINANCIAL OBLIGATIONS
DESCRIPTION
AMOUNT
FREQUENCY
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
VEHICLE INFORMATION
Number of Vehicles: ________________
Make/Model ___________________________________ Year _______ Color ____________ Plate # ___________ ST ________
Make/Model ___________________________________ Year _______ Color ____________ Plate # ___________ ST ________
Make/Model ___________________________________ Year _______ Color ____________ Plate # ___________ ST ________
OCCUPANTS OF THE PROPERTY
Name
Relationship to Applicant
Birth Date
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
EMERGENCY CONTACT NOT LIVING WITH YOU
Name: _________________ Address: _______________________________ Phone: ___________________
CONSENT TO OBTAIN CREDIT REPORT/BACKGROUND CHECK/EMPLOYMENT INFORMATION
Applicant hereby authorizes Landlord or Landlords agent to obtain a credit report and/or background check in
connection with the leasing of the Property by Applicant, and releases all persons, agencies, or firms from any liability
resulting from providing such information. Applicant declares under penalty of perjury that the information listed in this
Application for Lease is true and correct. Applicant authorizes Landlord or Landlords agent to contact Applicants
current and previous landlord(s) and current employer and further, by a copy of this application, authorizes any such
landlord or employer to release pertinent residential and employment information to be used in evaluating my lease
application. Applicant further authorizes Landlord or Landlords agent to apply for or obtain a background investigation
or report in connection with this application. Applicant understands that said background investigation or report may
contain information obtained from various state, governmental and private entities relative to the Applicants occupation,
employment, general health, financial and criminal history.
Applicant acknowledges receipt of A Summary of Your Rights Under the Fair Credit Reporting Act included on pages
3-4 of this Application for Lease.
Print Name of Applicant:
Applicants Signature:
Date:
________________________________
____________________________________
______________
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