Rental Application Information Form

Notice: Each person 18 years or older who will live in the unit must complete a separate Rental Application Form

Property address you are applying for:  Starting on move-in date:  Length of lease: months with monthly rent of $/mo.

In case of competing applications, what is the highest rent you would be willing to pay: $/mo.

FULL NAME: Phone:

Other Phone #s: Email:

Date of Birth: Approximate FICO credit score:

How many people will be living there:

Names of Other Occupants:

Pets (Number and Kind):

CURRENT ADDRESS:

Month & Year Moved In: Reason for Leaving:

Owner or Agent: Phone:

PREVIOUS ADDRESS (If within 3 years):

Month & Year Moved In: When moved out: Reason for Leaving:

Owner or Agent: Phone:

PREVIOUS ADDRESS (If within 3 years):

Month & Year Moved In: When moved out: Reason for Leaving:

Owner or Agent: Phone:

YOUR STATUS: Employed Full-Time Employed Part-Time Student Retired Unemployed

EMPLOYER: Current Previous

Date(s) Employed: Job title:

Supervisor: Supervisor's Phone:

Address: Compensation: $ per Year Month

If employed by above less than 6 months, give name and address of Previous Employer or School:

If there are other sources of income you would like us to consider, please list income, source and person who we could contact for confirmation (Banker, Employer, etc.). You do NOT have to reveal alimony, child support or spouse's annual income unless you want us to consider it in this application. Amount per month $ . Source:

YOUR VEHICLE MAKE/MODEL: Year:

SECOND VEHICLE MAKE/MODEL: Year:

OTHER VEHICLES:

HAVE YOU EVER:

Filed for bankruptcy? No Yes

Been evicted from tenancy? No Yes

Willfully or intentionally broken a lease, or refused to pay rent when due? No Yes

Been convicted of a felony? No Yes

Are you a registered sex offender? No Yes

Will you be growing marijuana? No Yes

Do you own a working vacuum cleaner? No Yes

Do you smoke? Not at all Yes, but outdoors only Yes, indoors

What do you smoke outdoors/indoors (check all that apply): Cigarettes Vaping Cannabis Cigars

Please give any additional information which might help management evaluate this application:

I RECOGNIZE THAT AS A PART OF YOUR PROCEDURE FOR PROCESSING MY APPLICATION, AN INVESTIGATIVE CONSUMER REPORT MAY BE PREPARED WHEREBY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS, AND OTHERS WITH WHOM I MAY BE ACQUAINTED. THIS INQUIRY INCLUDES INFORMATION AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS, AND MODE OF LIVING. I UNDERSTAND THAT I MAY HAVE THE RIGHT TO MAKE A WRITTEN REQUEST WITHIN A REASONABLE PERIOD OF TIME TO RECEIVE ADDITIONAL, DETAILED INFORMATION ABOUT THE NATURE AND SCOPE OF THIS INVESTIGATION. I AGREE TO RELEASE MY RENTAL AND OTHER PERSONAL BACKGROUND RECORDS FOR PURPOSES OF EVALUATING MY APPLICATION.

The above information, to the best of my knowledge, is true and correct.

Date Signed:

Signature of Applicant:

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