Rental Application: 1048-A College Ave
This application must be filled out by all tenants 18 years of age and older. If all the relationship of all applicants is immediate family, only one person should fill out this application, but list all applicants under the “Personal Information” section. If unrelated, each applicant must complete a separate application. Today’s Date:
Occupancy Date Desired:
Rental Price Range:
Applicant’s Personal Information: Last Name: Date of Birth: First Name: Social Security Number: State ID Number/State: Middle: /
ONLY IF immediate family, list additional occupants and their relationship to the applicant:
Rental Payments Options: Preferred payment method: Electronic Bank Transfer (preferred) * - a $25 charge will be assessed for returned checks Preferred payment due date (available only for EBT): Pre-screening questions: How long do you plan on living in the next rental home that meets your needs? How many vehicles would you need to park at the next rental home that meets your needs? Do you have (or plan to purchase) renter’s insurance? Have you ever: Broken a lease? Have you ever: Been convicted of a crime? Do you have any water-filled furniture? Filed for Bankruptcy? Monthly 1
st
Papal (Internet) Monthly 15
th
Personal Check* Semi-Monthly
Cash Weekly
Refused to pay rent for any reason?
Been evicted or been asked to leave a rental property? To perform a credit check?
Will you give us permission: To perform a criminal background check? Do you: Currently have any utilities in your name?
Currently have any phone service in your name?
Is there anything to prevent you from placing utilities or phone service in your name? Do you know of anything or any reason which may interrupt your ability to pay rent? Residence History: Current Street Address: City: Dates lived at this address? Since: Current Phone Number: How many Pets do you own, and what type? State: Own Zip: Rent Occupy
Name of present landlord/owner/mortgage company: Address of present landlord/owner/mortgage company: Phone number of present landlord/owner/mortgage company: Is your rent/mortgage payment current? Reason for moving: Number of late payments? Monthly payment $ Deposit amount currently held: $
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Rental Application: 1048-A College Ave
Residence History (cont): Previous Street Address: City: Dates lived at this address? From: to: State: Own Zip: Rent Occupy
Name of previous landlord/own/mortgage company: Was your full security deposit returned? Reason for moving: Previous Street Address: City: Dates lived at this address? From: to: State: Own Zip: Rent Occupy Number of late payments? Deposit amount previously held: $
Name of previous landlord/own/mortgage company: Was your full security deposit returned? Reason for moving: Income History: Applicant’s current employment status: Full-time Part-time Student Retired Other: Number of late payments? Deposit amount previously held: $
Employed by (or student at): Employer (or school) Address: City: Supervisor’s Name (or degree/major): Average weekly hours (if employed): Position: Additional Employer: Employer Address: City: Supervisor’s Name: Average weekly hours: State: Indicate weekly or Zip: monthly take-home pay:$ Position: Phone: How long at current employer (or when do you plan to graduate?) Indicate weekly or monthly take-home pay $ State: Zip: Phone:
How long with this employer?
Additional Income / Payment Information: In the event of some emergency that would prevent you from paying rent when due, is there a relative, friend, or agency that could assist you with rent payments? 1 emergency contact: Street Address: City: 2 emergency contact: Street Address: City: State: Zip: Phone: Do you currently have a savings account, line of credit, or other liquid asset sufficient to cover one month’s rent? Page 2 of 3
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Relationship:
State:
Zip:
Phone: Relationship:
Rental Application: 1048-A College Ave
Bank Reference: Name of bank and branch: Branch Address: City: Checking Account #: Creditor References: Name of Creditor: Street Address: City: Total amount owed: $ Other Creditor: Street Address: City: Total amount owed: $ Personal/Professional References: Name: Street Address: City: Relationship to you: Name: Street Address: City: Relationship to you: Thank you! Thank you for completing an application to rent from us. Please note that a completed application requires submission of the following, copies of which should be attached to this application: Driver’s license or other federal or state picture ID. Note: Apartment will not be shown without picture ID. Voided personal check (for bank verification purposes) If employed, most current pay stub of each income source listed If self-employed, most current Schedule C tax return and proof of current income If registered student, proof of registration for current or upcoming school year. By signing below, applicant hereby represents all information on this application is true, complete, and hereby authorizes annual verification of information, references, and credit history for continual rental consideration or for collection purposes should that become necessary. Applicant acknowledges this application will become part of the lease agreement when approved. If any information is found to be incorrect, the application will be rejected and any subsequent rental agreement becomes void. False and misleading statements will be sufficient reason for immediate eviction and loss of security deposit. Applicant’s signature: ____________________________________________________ Page 3 of 3 Date: ___________________ State: Zip: Phone: State: Zip: Phone: State: Monthly Payment: $ Zip: Phone: Are your payments current? State: Monthly Payment: $ Zip: Phone: Are your payments current? State: Zip: Savings Account #: Phone:
How long have you known this reference?
How long have you known this reference?