RENTAL APPLICATION
Re Apt. #
Brown Heights Properties Bill Brown & Son Apartments
Office: (828) 264-1713
_____
Applicant
Full Name (including nickname):____________________________________________ Local Phone: ( ) ______-_________ Cell Phone: ( ) ______-______________ Social Security #: _____-____-_______ D.O.B: ____/____/_______________ Driver’s License #: _____________________ Vehicle Make: _____________________ Model:__________________________ Year:____________ Color:_________________ License Plate # ________________ State Registered: __________ Email: ______________________
Roommates: _______________ ___________________ Employment / School Information
Your Status: Employed Student Y Y N N Full Time ___ Full Time ___ Part Time ___ Part Time ___
Place of Employment: _____________________________ City/State: _____________ Phone: ( ) _____-_________ Supervisor: _________________________________ Dates Employed at this Job: _______________________________________________________ Position/Title: __________________________________________________________________ Major: _____________________________ Projected Graduation Date: ___________ Activities (Sports, Clubs, Fraternities, Sororities, Band, etc.): _______________________________________________________________________ _______________________________________________________________________
Miscellaneous
Do you smoke? Have you ever: Y N ___ Inside of the apt. Y N Y N ___ Outside of the apt. Y N Been Sued? Been Evicted? Filed for bankruptcy?
Been accused or convicted of any legal violations? (Please include any filed complaints/pending charges)
Y
N
Explain any “yes” listed above: _______________________________________________________________________ _______________________________________________________________________
Parents Info:
Father’s Name (Print) ___________________________________________________ Address _________________________________ City _______ State____ Zip _______ Home Phone # ( Cell # ( ) ______-________ Work Phone # ( ) ______-________ ) ______-________ Email: _______________________________
Employed By_________________________________ Position_____________________ Mother’s Name (Print) _____________________________________________________ Address _________________________________ City _______ State____ Zip _______ Home Phone # ( Cell # ( ) ______-________ Work Phone # ( ) ______-________ ) ______-________ Email: _______________________________
Employed By_________________________________ Position_____________________
Important Info:
Both my roommate and I agree to make an appointment to come into the rental office to sign the leasing contract with management. Read, sign, date and return 1. New updated Rules and Regulations 2. This application
I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any false or incomplete statements in this application. I authorize verification of the information provided in this application from my credit sources, credit bureaus, court records, current and previous landlords and employers. I give permission for Management to give a copy of all of my information to my roommate, his or her parents/cosigners if collection/legal assistance is needed.
Signature: ______________________________________________ Print: ________________________________________
Date: ____/____/______