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 DATE OF BIRTH / PHONE PRESENT HOME ADDRESS r When would you like to move in? C— '3\ IL'Jc3\d CELL PHONE\_ocv. _ HOME 31 j DRIVERS LICENSE EXT, & i PRESENT LANDLO' LANDLORD PHONE ( CITY/STATE/ZIP PREV1OULANDLORD1 \ ' 1 AM1NT OF NEXT PREVIOUS HOME ADDRESS Is your present rent up to date? 4k9W . 'fru J - £ AMOUNT OF RE REASON FOR LEAVING (STATE EMAIL U HOME U WORK CITY/STATE/ZIP REASON FOR LEAVING PREVIOUS HOME ADDRESS # J LENGTH OF TIMEsinco LENGTH OF TIME ss.# LAST '& &w ft4 Jq K% LANDLORD PHONEWas your rent up to date? YES NO 56 YES NO CITY/STATE/ZIP LENGTH OF TIME NEXT PREVIOUS LANDLORD - LANDLORD PHONE REASON FOR LEAVING AMOUNT OF RENT Was your rent up to date? DYES NO S PROPOSED OCCUPANT(S) NAME RELATIONSHIP OCCUPATION AGE NAME RELATIONSHIP OCCUPATION AGE NAME RELATIONSHIP OCCUPATION AGE NAME RELATIONSHIP OCCUPATION AGE NAME RELATIONSHIP OCCUPATION AGE PROPOSED PET(S) TYPE/BREED NAME NAME TYPE/BREED fr- N, INDOOR OUTDOOR J INDOOR OUTDOOR INDOOR U OUTDOOR AGE AGE I TYPE/BREED A- J VEHICLE(S) INFORMATION MAKE YEARN MAKE AKE N/j MODEL MODEL IA COLOR PLATE # COLOR PLATE # - STATE /- STATE I EMPLOYMENT H UR CTYE OCFNON - PHE SUPEISR CITY - CURRENT EMPLOYER OCCUPATION SUPERVISOR PHONE ADDRESS CITY/STATE/ZIP YEARS EMPLOYED Exi: P EEK CE) 6Dti. HOURS/WEEK EXT: YEARS EMPLOYED INCOME CURRENT INCOME CURRENT INCOME CURRENT INCOME $ [:) WEEKLY I SOURCE PROOF OF INCOME SOURCE PROOF OF INCOME SOURCE PROOF OF INCOME BIWEEKLY LJMONTHLY QYEARLY WEEKLY QBIWEEKLY QMONTHLY I YEARLY J YEARLY WEEKLY DBIWEEKLY UMONTHLY [ LJYES 1NO UYES UYES [j NO [j NO 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 INFORMATION EMERGENCY CONTACT PHONE Hi i I-i,tl JCELL Li HOME RELATION ADDRESS EMERGENCY CONTACT PHONE PHONE - - - - - lJ CELL - RELATION ADDRESS PERSONAL REFERENCE PHONE ADDRESS PERSONAL REFERENCE PHONE - - U HOME Ii WORK j HOME PHONE - - HOME WORK CITY/STATE/ZIP - - CELL Li HOME ADDRESS RELATION - CITY/STATE/ZIP CELL RELATION - HOME [Li HOME Li WORK i 'tl i ow PHONE - - - \J CITY/STATE/ZIP - PHONE - - HOME Ll WORK CITY/STATE/ZIP I S. APPLICANT QUESTIONNAIRE / AUTHORIZATION Has applicant ever been sued for bills? EJ YES N NO Has applicant ever been bankrupt? 3YES 'O Has applicant ever been guilty of a felony? 3YES NO Has applicant ever broken a Lease? 3YES 13 NO Has applicant ever been locked out of their apartment by the sheriff? Q YES tJ NO Has applicant ever been brought to court by another landlord? 3YES Has applicant ever moved owing rent or damaged an apartment? 3YES 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• APPUCANT SIC . DATE E / /2.jD 22— 10 If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person. NOTES: - -. - '~)l ~~, Okfl (J 1Ccr1u A CicL / ,4L rt . r4 ai Q9.A42. Page 2 of 2
