Personal Information
APPLICANT Married Separated Unmarried (Single-DivorcedWidowed) Full Name: Date of Birth: Social Security Number: Phone Number: Driver’s License Number/State: E-Mail Address: OTHER: Co-Applicant Spouse Guarantor (Only complete this information if you want the person on the Lease Agreement if accepted) Full Name: Date of Birth: Social Security Number: Phone Number: Driver’s License Number/State: E-Mail Address: Present Address: City/State/Zip: Landlord’s Name: Payment Amount: $ Rent Previous Address: City/State/Zip: Landlord’s Name: Payment Amount: $ Rent
Own
Landlord’s Phone Number: How often Due: Length at Present Address:
Own
Landlord’s Phone Number: How often Due: Length at Previous Address:
Employment/Income Information
APPLICANT Place of Employment: Address:
Title/Job: Number of Hours: Employment Income Other Income Other Income
Start Date: Supervisor’s Name: $ ___________ Per ___________ $ ___________ Per ___________ $ ___________ Per ___________ Net Source: Source: Gross
Previous Employer Name and Address if employed less than five years at current job Start Date Ending Date What You Owe
Rent/Lease Auto Loan Auto Loan Child-Care Child Support Credit Card Credit Card Credit Card Other Other Other Totals Creditor Name; Person Owed Interest Rate % % % % % % % % % % % Present Balance $ $ $ $ $ $ $ $ $ $ $ $ Monthly Payment $ $ $ $ $ $ $ $ $ $ $ $ Owned By Applicant Home Auto Savings Checking Other Other Other $ $ $ $ $ $ $ Yes Yes Yes Yes Yes Yes Yes No No No No No No No Owed By Applicant
Oth
What You Own
Location/Description of Property
Market Value
Pledged as Collateral for Another Loan
Othe
References
APPLICANT - References Cannot Be Family Members Name: Address: Daytime Phone Number: Length of Acquaintance: APPLICANT/OTHER - References Cannot Be Family Members Name: Address: Daytime Phone Number: Length of Acquaintance: APPLICANT - Nearest Relative Not Living With You Name: Address: Daytime Phone Number: Relationship:
Other Information About You
If you answer “yes” to any question, please explain on the back of this application.
Have you ever been evicted from a previous location? Have you ever been more than 25 days late on your rent/lease payment? Have you ever left damage at a previous location? Do you currently have any outstanding judgments or have you ever filed for bankruptcy. Have you ever had property foreclosed upon or repossessed in the last 7 years?
Applicant
Other
Yes Yes Yes Yes Yes
No No No No No
Yes Yes Yes Yes Yes
No
No
No No
No
What location are you looking for? How many bedrooms do you need? How many bathrooms? What would you like your lease payments to be each month? Who will be living with you (include ages and relationship) List any other names, other than the name listed above, under which your credit reference and credit history can be checked: Please feel free to use the back of this application to explain any of your
answers on this Lease Application or to tell us more about yourself.
I promise that everything I have stated on this application is correct to the best of my knowledge and that the above information is a complete listing of what I owe. I authorize verification of this information and the obtaining of a consumer credit report. I agree that the landlord may terminate any contract entered into if any of the information on this application is found to be false in any way. __________________________________________ __________________________ Applicant’s Signature __________________________________________ __________________________ Other’s Signature
Date
Date