Document (5)

PROPOSED PET(S)
TYPE/BREED
J
INDOOR
OUTDOOR
OUTDOOR
J
INDOOR
STATE
PLATE #
COLOR
TYPE/BREED
TYPE/BREED
N,
I
INDOOR
U OUTDOOR
fr
-
A-
VEHICLE(S) INFORMATION
YEARN
MAKE
N/j
MAKE AKE
COLOR
PLATE #
/-
STATE
I
AGE AGE
AGE
NAME
NAME
MODEL
IA
-
MODEL
SOURCE
PROOF OF INCOME
UYES
[j NO
SOURCE
CURRENT
INCOME
I
WEEKLY QBIWEEKLY QMONTHLY
I
YEARLY
SOURCE
WEEKLY DBIWEEKLY UMONTHLY [
J
YEARLY
LJYES 1NO
PROOF OF INCOME
CURRENT
INCOME $
PROOF OF INCOME
UYES
[j NO
INCOME
CURRENT
INCOME
[:) WEEKLY
BIWEEKLY LJMONTHLY QYEARLY
RENTAL APPLICATION
Every occupant over the age of 18 MUST fill out a separate application (even if married).
Please fill out this form COMPLETELY and sign where indicated.
' I
PERSONAL INFORMATION
FIRST NAME
MIDDLE LAST ss.#
DATE OF BIRTH
/
When would you like to move in?
r DRIVERS LICENSE #
(STATE
PHONE
-
CELL HOME
J
PHONE\_ocv. _
31 j
EXT,
U HOME U WORK
EMAIL
PRESENT HOME ADDRESS
C— '3\
IL
'Jc3\d
&
CITY/STATE/ZIP
i
LENGTH OF TIMEsinco
PRESENT LANDLO'
£
LANDLORD PHONE
- -
REASON FOR LEAVING
AMOUNT OF RE
Is your present rent up to date?
YES
NO
PREVIOUS HOME ADDRESS
(
CITY/STATE/Z IP
4k9W K%
Jq
56
LENGTH OF TIME
\
PREV1OULANDLORD1 .
'fru
'&
LANDLORD PHONE-
-
REASON FOR LEAVING
'
1 J
AM1NT
OF
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Was your rent up to date?
YES NO
NEXT PREVIOUS HOME ADDRESS CITY/STATE/ZIP
LENGTH OF TIME NEXT PREVIOUS LANDLORD LANDLORD PHONE
- -
REASON FOR LEAVING
S
AMOUNT OF RENT
Was your rent up to date?
DYES NO
PROPOSED OCCUPANT(S)
RELATIONSHIP
OCCUPATION
AGE
NAME
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
EMPLOYMENT
H UR EEK
OCFNON
CTYE
SUPEISR
PHE
-
-
Exi:
YEARS EMPLOYED
CITY P
CE)
6Dti.
CURRENT EMPLOYER
OCCUPATION
HOURS/WEEK
SUPERVISOR
PHONE
EXT:
YEARS EMPLOYED
ADDRESS
CITY/STATE/ZIP
Page 1 of 2

,AL
RENTAL APPLICATION
Every occupant over the age of 18 MUST
fill out a separate application (even if married).
Please fill out this form COMPLETELY
and sign where indicated.
CREDIT CARD
I
FINANCIAL INFORMATION
CAR LOAN
LIEN HOLDER
BALANCE
OWED
MONTHLY
PAYMENT
CREDITORS -
PHONE #
CREDIT CARD
COMPANY
BALANCE
OWED
MONTHLY
PAYMENT
CREDITOR'S - -
PHONE #
CREDIT CARD
COMPANY
BALANCE
OWED
MONTHLY
PAYMENT
CREDITOR'S -
PHONE # -
CREDIT CARD
COMPANY
BALANCE
OWED
MONTHLY
PAYMENT
CREDITOR'S - -
PHONE *
CHILD SUPPORT!
OTHER CREDIT OWED
BALANCE
OWED
MONTHLY
PAYMENT
CREDITOR'S -
PHONE# -
BANK ACCOUNT
NAME OFBANK
BALANCE
MONTHLY
PAYMENT
ACCOUNT
NUMBER
EMERGENCY/ PERSONAL REFERENCE
EMERGENCY CONTACT
INFORMATION
PHONE - -
[Li
HOME
Li
WORK
PHONE
H
i
i
I-i,tl
JCELL
Li
HOME
RELATION
ADDRESS
CITY/STATE/ZIP
\J
ow
i
'tl
i
EMERGENCY CONTACT PHONE -
-
lJ
CELL HOME
PHONE -
-
U
HOME
Ii
WORK
RELATION ADDRESS
CITY/STATE/ZIP
PERSONAL REFERENCE PHONE - -
CELL j HOME
PHONE - -
HOME WORK
RELATION ADDRESS
CITY/STATE/ZIP
PERSONAL REFERENCE
PHONE - -
CELL
Li
HOME
PHONE - -
HOME Ll WORK
RELATION
S.
ADDRESS
CITY/STATE/ZIP
I
APPLICANT QUESTIONNAIRE / AUTHORIZATION
Has applicant ever been sued for bills?
EJ
YES
N NO Has
applicant ever been locked out of their apartment by the sheriff?
Q
YES
Has applicant ever been bankrupt? 3
YES 'O
Has applicant ever been brought to court by another landlord?
3
YES
tJ
NO
Has applicant ever been guilty of a felony?
3
YES
NO
Has applicant ever moved owing rent or damaged an apartment?
3
YES
13
NO
Has applicant ever broken a Lease?
3
YES
13
NO
Is the total move-in amount available now (rent and deposit)?
U
YES
Li
NO
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.
All information is true, accurate and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
t• .
/
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22—
APPUCANT SIC
E
DATE
10
If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.
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