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Rental Application
Rental Application
Property Name:
Scheduled Move in Date:__________________
FOR OFFICIAL USE ONLY
Apt Number
Monthly Rent
Concession
Lease Length
Traffic Source
APPLICANT INFORMATION
APPLICANT NAME
DATE OF BIRTH
DRIVERS LIC #
STATE
SOCIAL SECURITY #
HOME TELEPHONE
WORK TELEPHONE
EMERGENCY CONTACT
RELATIONSHIP
TELEPHONE
OTHER OCCUPANTS
FULL NAME
RELATIONSHIP
SOCIAL SECURITY NUMBER
RESIDENCE HISTORY
STREET ADDRESS
CITY
STATE
ZIP
DATE IN
RENT $
LAND LORD
NAME & PHONE
EMPLOYMENT HISTORY
COMPANY NAME
STREET ADDRESS
PHONE
HIRE
DATE
MONTHLY
SALARY
POSITION or OCCUPATION
BANKING INFORMATION
BANK / CREDIT UNION NAME
BRANCH
PHONE NUMBER
SAVING/CHECKING
ACCOUNT NUMBER
AUTOMOBILES
MAKE
MODEL
YEAR
LICENSE PLATE NUMBER
Will assistive animal of any type live in the apartment?
Yes
No
If yes please describe below.
Type:
Weight (full grown):
Spayed/Neutered:
Yes
No
License:
Please check YES or NO.
1.
Have you ever been evicted or refused to pay rent for any reason?
Yes
No
2.
Have you ever been convicted of a felony or any crime related to harm to a person or property, including but not limited to arson, assault, intimidation, sex crimes, drug related offenses, theft, dishonesty, prostitution, obscenity and related violations? If yes please explain;
Yes
No
3.
Do you have any outstanding warrants for your arrest? If yes please explain
Yes
No
4.
Have you ever filed for bankruptcy? If yes please explain
Yes
No
I hereby authorize Kyle Reeves to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I hereby expressly release Kyle Reeves, and any procurer or furnisher of information from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. The undersigned represents that the above statements are true/complete. Applicant acknowledges that false information contained herein shall be grounds for rejection of the application if discovered before move-in. Applicant acknowledges that management may not be able to false information contained herein shall be grounds for rejection of the application if discovered before move-in. Applicant acknowledges that management may not be able to complete a comprehensive evaluation of this agreement before move-in. Management reserves the right to verify application information after move-in and may convert the proposed rental agreement to a month-to-month term if false or misleading information is contained in this Application. Applicant understands that the amount received for an application fee is non-refundable. This application is preliminary only and does not obligate owner or owners representative to execute a lease or deliver possession of the proposed premises. If application is accepted,
applicant understands that any information contained herein will be used should an eviction or collection action become
necessary.
Do you agree to sign this application.
Yes
E
mail:
APPLICANT SIGNATURE DATE
AGENT SIGNATURE DATE
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