APP

Rental Application PROPERTY : UNIT # DATE / / AGENT TIME : A.M./ P.M. Reasonable accommodations for people with disabilities will be provides upon request. APPLICANT NAME: SOCIAL SECURITY #: DRIVER’S LICENSE # : STATE: DATE OF BIRTH NAME(S) OF OTHER OCCUPANT(S) RELATIONSHIP DATE OF BIRTH SOCIAL SECURITY # ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ PRESENT STREET ADDRESS CITY STATE ZIP HOME/CELL# EMAIL TIME YRS. /MO. OWN/RENT MO. RENT/MORT. $ LANDLORD/MORT. CO. PHONE # PREVIOUS ADDRESS CITY STATE ZIP TIME YRS. /MO. OWN/RENT MO. RENT/MORT. $ LAND/MORT. CO. PHONE # EMPLOYED BY POSITION START DATE ADDRESS PHONE MONTHLY WAGES $ ADDITIONAL INCOME MONTHLY AMOUNT $ PREVIOUS EMPLOYER POSITION TIME: YRS/MOS ADDRESS PHONE MONTHLY WAGES $ EMERGENCY CONTACT RELATIONSHIP PHONE# ADDRESS PET(S)? YES NO NUMBER TYPE PET(S) BREED(S) WEIGHT(S) NUMBER OF AUTOMOBILES MAKE/MODEL COLOR LICENSE PLATE# MAKE/MODEL COLOR LICENSE PLATE# The undersigned Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by employer (present and former), consumer reports, rental history, criminal reports, Lenders or by any other means necessary to obtain information. All such information herein, and released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON THIS APPLICATION IS TRUE AND COMPLETE. Applicant understands and agrees that this application shall be made part of and incorporated into the lease agreement. Any misstatements of fact or false information supplied by the applicant shall be considered a violation of the lease. CREDIT CHECK CHARGE – Applicant has submitted the sum of $ which is a nonrefundable payment for a credit check and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount. In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing application as furnished by applicant. This application must be signed before it can be processed. RESERVATION DEPOSIT – I hereby deposit $ with management as a RESERVATION DEPOSIT in connection with this rental application. If my application is accepted, I understand this deposit will be applied toward payment of my first month’s rent of $ when I take possession of the apartment. If for any reason Management decides to decline my application, the Management will refund RESERVATION DEPOSIT to me in full. I understand I may cancel this application by written notice within 72 hours and receive a full refund of the RESERVATION DEPOSIT within 30 days of the cancellation. If I cancel after 72 hours or refuse to occupy the premises on the agreed upon date, I understand the RESERVATION DEPOSIT will be forfeited. “ By signing this document, applicant acknowledges receipt of a summary of their consumer rights as required by Section 609 of the Fair Credit Reporting Act entitled “A Summary of Your Rights Under the Fair Credit Reporting Act.” Applicant shall accept electronic service as sufficient legal service of notices sent by Management to Applicant at the email address provided herein. Applicant Signature Date: / / ALL OCCUPANTS 18YRS. OF AGE AND OVER MUST COMPLETE A RENTAL APPLICATION - PLEASE PRINT CLEARLY The undersigned hereby agrees to execute a lease in the event of the approval of the rental application for the following apartment. TYPE: ADDRESS: MONTHLY RENTAL AMOUNT : $ (Pricing valid on application when submitted within 24 hours of original quote. Subject to change thereafter.) TERM (MOS ) MOVE-IN DATE / / SEC. DEP. LEASE START DATE / / LEASE EXPIRATION DATE / / RESERVATION FEE $ Pro-Rate Rent days @ $ per day = Total Pro-rate Rent $ ________________________ First Month Rent (Less Reservation Fee) $ Other Rents Due $ for (Separate certified check or money order) SPECIAL NOTES: Application Taken by: Title: Date: / / INCOME VERIFIED BY _________________________DATE_____________ FORMER LANDLORD VERIFIED BY _______________________ DATE ______________ MANAGER’S REVIEWED SIGNATURE: DATE: APPROVED YES NO