GENERAL INFORMATION
Applicant's First Name *
Applicant's Last Name *
Social Security # (888-88-8888) *
Date of Birth (mm/dd/yy) *
Present Address
City
State
Zip
Home Phone *
Work Phone
Email Address *
Marital Status:
Married
Separated
Divorced
Single
Spouse or Co-Tenant's First Name
Spouse or Co-Tenant's Last Name
Social Security # (888-88-8888)
Date of Birth (mm/dd/yy)
Home Phone
Work Phone
# of Children
Child 1's Name
Age sex
Child 2's Name
Age sex
Child 3's Name
Age sex
Child 4's Name
Age sex
Projected Move-In Date (mm/dd/yy) *
RENTAL HISTORY
(Beginning with present, list last 3 residences - if less than 5 years, list addtl residences.)
A
Current Address
Owned:
Yes
No
Current Landlord
From (mm/dd/yy) To (mm/dd/yy)
Landlord's Address
City
State
Zip
Phone
B
Previous Address
Owned:
Yes
No
Previous Landlord
From (mm/dd/yy) To (mm/dd/yy)
Landlord's Address
City
State
Zip
Phone
C
Previous Address
Owned:
Yes
No
Previous Landlord
From (mm/dd/yy) To (mm/dd/yy)
Landlord's Address
City
State
Zip
Phone
Have You Ever:
Been Evicted
Broken a Lease
Asked to Leave
If so, Explain
EMPLOYMENT INCOME
Employer
Position
Income
Per
Supervisor's Name
Supervisor's Phone
Length of Service
Employer's Address
Spouse's Employer
Spouse's Position
Income
Per
Supervisor's Name
Supervisor's Phone
Length of Service
Employer's Address
Amount of any Other Income
Source of Other Income
I hereby authorize the Landlord, and its agents, to obtain credit information from such sources as it chooses including, without limitation, credit bureaus, employers, current and previous landlords and law enforcement agencies. I agree that if any information herein contained is false, the lease made on the strength of this application may, at the option of the Landlord, be terminated at any time.
This application is taken subject to approval of Owner or Agent. I agree that upon notification of approval of my application and assignment of an available unit, I shall be responsible for any vacancy loss incurred by the Owner up to my scheduled move-in dates should I choose not to lease said apartment. Acceptance of this application, including approval hereof, is not acceptance of me/us as tenant(s) or an agreement to make a lease, which is made only upon signing of a formal lease by all parties.