CO-APPLICANT'S FULL NAME: DATE OF BIRTH
Social Security Number: Driver's License Number:
| Full Name of All Other Residents | Age | Relationship to You | Date of Birth |
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Do You Have a Pet? Yes No
If Yes, What Kind?
Are you aware that our no pet policy permits no pets unless you have the express written
permission of Management to have a pet and have paid an upcharge for the pet? Yes No
How did you hear about our property? Newspaper Internet Referral Other
2. RESIDENCE INFORMATION
PRESENT ADDRESS:
Present Tel: Residency Dates: From to
Present Landlord and Management Company:
Management/Landlord Telephone: Monthly Payment:
Reason for Moving:
PREVIOUS ADDRESS:
Previous Telephone: Residency Dates: From to
Previous Landlord and Management Company:
Previous Management/Landlord Telephone: Monthly Payment:
Reason for Moving:
Co-Applicant's Present Landlord/Management Company, Address and Telephone:
Co-Applicant's Previous Landlord/Management Co., Address and Telephone:
3. EMPLOYMENT HISTORY
PRESENT EMPLOYER:
Present Employer's Address:
Employer's Tel: Employment Dates: From to
Position: Supervisor:
Gross Monthly Salary:
PREVIOUS EMPLOYER:
Previous Employer's Address:
Employer's Tel: Employment Dates: From to
Position: Supervisor:
Gross Monthly Salary:
Co-Applicant's EMPLOYER:
Present Employer's Address:
Employer's Tel: Employment Dates: From to
Position: Supervisor:
Gross Monthly Salary:
4. BANKING AND CREDIT REFERENCES:
| BANK NAME/CREDIT CARD | TELEPHONE | CHECKING ACCT. | SAVINGS ACCT. | CREDIT ACCT. |
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OTHER REFERENCES:
5. VEHICLES: Must be registered with and must have MSRM tag(s).
| Make/Model | Year | Color | Plate/Tags/State |
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6. OTHER INFORMATION:
Have you or any other prospective resident ever been convicted of
any crime? Yes No
If yes, please explain:
-Have you or the co-applicant ever been sued for
non-payment of rent? Yes No
-Have you or the co-applicant ever been
evicted or asked to move-out? Yes No
-Have you or the co-applicant broken
a rental agreement or Lease? Yes No
-Have you or the co-applicant been sued
for damage to rental property? Yes No
7. Emergency:
In case of emergency, Notify: Relationship
Address: Home Phone: Cel.
Work Phone:
- I agree to comply with all House Rules and Lease obligations of the apartment complex for which I am applying.
- It is unlawful to discriminate against prospective tenants on the basis of race, religion, national origin, age or disability
- All applications are subject to owner approval.
- I agree to obtain renter insurance
- Management/Owner not responsible for my property
- I represent that all statements herein are true and any false representations are grounds for denial of application
- False statements in this application are also grounds for termination of tenancy.
- In connection with my application for this apartment, I authorize:
- all banks, corporations, companies, credit agencies, persons and employers,
- to release any information that they have about me to Management/Owner or its agent,
- and I release them from any and all liability or responsibility from doing so.
- Further, I authorize the procurement of an investigative consumer report
- and a possible criminal background check and understand that such report may
- contain information about my background, character and personal reputation.
- I understand this authorization will also apply to future updated reports that may be requested,
- even after my tenancy/residency if arrears are owed. As always, reasonable accommodations provided to those with disabilities.
Applicant's Signature: Date:
Co-Applicant's Signature: Date: