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We are so pleased that you chose Bella as your new HOME! The following documents will be required from each Applicant to insure that
your Application is processed accurately and promptly.
Copy of Drivers License Last months paystubs (If paid weekly 4 paystubs) Additional income- award statements, child support order etc. Landlords name and phone number preferably last 2 years history Employers name and fax number, if not available will accept the
following: Last 2 years W2 or the December paystub for last two years
Employment to verify how long you have been employed.
NON CITIZEN APPLICANTS (Required in addition to the items mentioned above)
Copy passport or US drivers license Visa with current dates mentioned Tax ID number if issued
*Waiver of Visa only applies to designated Countries
Thank you,
The Bella Team
APPLICATION FOR RENTAL Residence Management, Inc.
BELLA Welcome to Your New Community! Agent_________________
Equal Housing Opportunity Address: ________________________ Rental Amount $________
APPLICANTS LAST NAME FIRST NAME MIDDLE BIRTH DATE DRIVERS LICENSE # & STATE SOCIAL SECURITY # _______________________ ______________ __________ ________________ _____________________________ _________________________ _____ Unmarried _____ Married SPOUSES NAME BIRTH DATE DRIVERS LICENSE # & STATE SOCIAL SECURITY # _____ Separated ____________________________ _______________ ______________________________ _________________________
PHONE NUMBER: ________________________________ E-MAIL ADDRESS: ______________________________ SPOUSE PHONE NUMBER: _________________________ SPOUSE E-MAIL ADDRESS: _______________________ DO YOU HAVE ANY PETS? HOW MANY? TYPE / BREED / WEIGHT ( PET FEES / DEPOSIT / PET RENT may apply) ____ YES ____ NO ____________ __________________________________________________________
PART I RESIDENCE HISTORY ONE YEAR RESIDENTIAL HISTORY REQUIRED PRESENT ADDRESS CITY STATE ZIP HOW LONG? FROM______________TO______________ OWN_____RENT_____ HOME PHONE # MONTHLY AMT $ NAME OF PRESENT LANDLORD OR MORTGAGE COMPANY CONTACT PHONE # PREVIOUS RESIDENCE ADDRESS FROM__________TO__________ OWN____RENT____ MONTHLY AMT $ PREVIOUS MORTGAGE CO. OR APARTMENT COMMUNITY: PHONE #
PART II EMPLOYMENT HISTORY ONE YEAR EMPLOYMENT HISTORY REQUIRED CURRENT EMPLOYER: SUPERVISORS NAME POSITION HELD FROM______________TO_____________ ADDRESS: CITY STATE ZIP PHONE # SALARY $____________________PER_________ PREVIOUS EMPLOYMENT: SUPERVISORS NAME POSITION HELD FROM______________TO_____________ ADDRESS: CITY STATE ZIP PHONE # SALARY $____________________PER_________ SPOUSE EMPLOYED BY: SUPERVISORS NAME POSITION HELD FROM______________TO_____________ ADDRESS: CITY STATE ZIP PHONE # SALARY $____________________PER_________ SPOUSES PREVIOUS EMPLOYMENT: SUPERVISORS NAME POSITION HELD FROM______________TO_____________ ADDRESS: CITY STATE ZIP PHONE # SALARY $____________________PER_________ ADDITIONAL INCOME ADDITIONAL INCOME SUCH AS CHILD SUPPORT, ALIMONY, OR SEPARATE MAINTENANCE NEED NOT BE DISCLOSED UNLESS SUCH ADDITIONAL INCOME IS TO BE INCLUDED FOR QUALIFICATION HEREUNDER AMOUNT___________________________________PER_____________ SOURCE:______________________________________
PART III EMERGENCY CONTACT NAME:_____________________________________ RELATIONSHIP:__________________________ PHONE#________________________________ ADDRESS: CITY: STATE: ZIP:
Jake Drouillard
Jake Drouillard
Jake DrouillardDrouillard
Jake DrouillardJake
Jake DrouillardRobert
Jake Drouillard10/03/91
Jake DrouillardX
Jake Drouillard373-13-3731
Jake Drouillard(734) 652-4368
Jake DrouillardJakeDrouillard@aol.com
Jake DrouillardX
Jake DrouillardX
Jake Drouillard450
Jake DrouillardD 646 364 745 762 MI
Jake Drouillard
Jake Drouillard8103 Patterson Fox Dr
Jake DrouillardOrlando
Jake DrouillardFlorida
Jake Drouillard32821
Jake Drouillard
Jake DrouillardDisney College program housing
Jake DrouillardDisney World
Jake Drouillard
Jake Drouillardhour
Jake Drouillard9.00
Jake DrouillardAug 11
Jake DrouillardPresent
Jake DrouillardCarol Drouillard
Jake DrouillardMother
Jake Drouillard
Jake Drouillard10380 High st
Jake DrouillardErie
Jake DrouillardMichigan
Jake Drouillard48133
Jake Drouillard
Jake Drouillard8.66
Jake Drouillardhour
Jake Drouillard
Jake Drouillard
Jake Drouillard2014
Jake Drouillard
Jake DrouillardRosary Care
Jake Drouillard
Jake Drouillard
Jake DrouillardMarshall Goldstein
Jake DrouillardApril 2012
Jake DrouillardSept 2013
Jake Drouillard
Jake Drouillard6832 Convent Blvd Sylvania OH 43560
Jake Drouillard419 824-3906
Jake DrouillardVicki Perez
Jake Drouillard
Jake Drouillard(734) 497-0282
Jake DrouillardN/A
Jake Drouillard
Jake DrouillardN/A
Jake DrouillardLived with Family
Jake Drouillard2011
Jake Drouillard9940 Lorden Drive
Resident Qualifying Criteria
1.AGE: Applicants must be of legal contractual age as designated by the state.
2.CREDIT HISTORY: A complete investigation of credit history of each applicant will be made and will require a satisfactory rating. An unsatisfactory credit report is one, which reflects past or current bad debts, late payments or unpaid bills, liens, judgments, foreclosures, or bankruptcies. Filing of bankruptcy is unacceptable unless discharged. If any applicant is rejected for poor credit history, the applicant will be given the name, address, and telephone number of the credit reporting agency that provided the credit report (but will not be told the content of the credit report). An applicant rejected for unsatisfactory credit is encouraged to obtain a copy of the credit report from the credit reporting agency, correct any erroneous information that may be on the report, and may resubmit the application.
3.RESIDENCY RENTAL HISTORY: Present and previous residency will be verified for rental history for up to the past 2 years, which includes timely rent payments and no outstanding balances or history of lease violations. All applicants who have been previously evicted from another apartment community will be automatically declined. Any applicant that holds a balance with another apartment community, must be able to provide proof that they are on an approved payment plan or that balance has been paid in full and debt has been satisfied
4.QUALIFYING INCOME CRITERIA: Verifiable gross income of 3 times the amount of rent per household. Acceptable income verification must include the most recent pay stubs. In case of new employment, the HR office in the form of a letter must make verification.
5.EMPLOYMENT HISTORY: All applicants must have 2 current sources of verifiable employment or income. Allowances from other sources of income such as alimony, child support, retirement income, commissions or tips will require written verification. If an applicant is self employed written verification of two (2) years income, such as tax returns must be provided.
6.CRIMINAL HISTORY: In the event the applicant is convicted of a felony in the last (10) years, involving crimes against a person or property, or for drugs, sexual offense(s), or prostitution, the applicant will be automatically rejected with no possible remedy. Adjudication deferred also applies to this rejection status. Any applicants that have committed a violent or drug related crime within the past (7 years) will automatically be rejected. Any other criminal offenses will be reviewed for approval or denial at managements discretion. 7.Federal ID: All applicants must have a valid Federal ID Number or Social Security Number and must be able to present a valid photo Federal ID such as a Drivers License, Federal ID Card, or Passport. *Please note that an additional deposit or co-signer may be required. Deposits range from $300 up to $3,500 and must be paid in full in certified funds before any lease holder is allowed to take possession of the apartment. *A signed lease and paid deposit are required in order to hold a specific apartment off the market. Deposit, application, and reservation fee are non-refundable if applicant chooses to cancel application. *If applicant has or will be bringing a pet, proof of current pet vaccinations and proof of acceptable breed are required to be presented and approved by management before occupancy is allowed. *First months rent is to be paid in certified funds only. No cash or personal checks accepted at the time of move in. *Proof of utility confirmation that utilities have been turned on in lease holders name prior to occupancy is required before resident is allowed to take possession of the apartment.
PART VI APPLICATION AGREEMENT I HEREBY AUTHORIZE THE RELEASE OF INFORMATION NECESSARY TO PROCESS THIS RENTAL APPLICATION, INCLUDING BUT NOT LIMITED TO EMPLOYMENT AND RESIDENTIAL HISTORY, PUBLIC RECORDS, CREDIT REPORTING, AND CRIMINAL BACKGROUND. APPLICANT WILL BE DENIED IF FOUND WITH CRIMES AGAINST PERSONS, PROPERTY OR INVOLVING ILLEGAL SUBSTANCES. I REPRESENT ALL OF THE INFORMATION ON THIS APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I ACKNOWLEDGE THAT FALSE INFORMATION HEREIN MAY CONSTITUTE GROUNDS FOR REJECTION OF THIS APPLICATION, TERMINATION OF RIGHT OF OCCUPANCY AND/OR FORFEITURE OF DEPOSITS. MATERIAL MISREPRESENTATIONS ON THIS APPLICATION WILL CONSTITUTE DEFAULT UNDER MY LEASE AGREEMENT. I HAVE SUBMITTED THE SUM OF $_______________ AS AN APPLICATION, ADMINISTRATION, OR RESERVATION FEE WHICH SHALL BE NON-REFUNDABLE UNDER ANY CIRCUMSTANCES. I HAVE SUBMITTED THE SUM OF $_______________ AS AN APPLICATION DEPOSIT WHICH SHALL BE APPLIED TOWARD THE SECURITY DEPOSIT ON MY APARTMENT UPON APPROVAL OF MY APPLICATION. IF I CANCEL THIS APPLICATION OR REFUSE TO OCCUPY THE APARTMENT UPON THE AGREED DATE, I UNDERSTAND THAT I AM NO LONGER ENTITLED TO ANY REFUND OF THIS APPLICATION DEPOSIT. APPLICANTS SIGNATURE:______________________________________________________________DATE:_______________________ APPLICANTS SPOUSESS SIGNATURE:____________________________________________________DATE:_______________________ OWNERS REPRESENTATIVE:_____________________________________________________________DATE:______________________
LAST NAME FIRST NAME MIDDLE BIRTH DATE RELATIONSHIP _______________________ ______________ __________ ______________ ______________
PART IV ADDITIONAL OCCUPANTS
LAST NAME FIRST NAME MIDDLE BIRTH DATE RELATIONSHIP _______________________ ______________ __________ ______________ ______________ LAST NAME FIRST NAME MIDDLE BIRTH DATE RELATIONSHIP _______________________ ______________ __________ ______________ ______________ LAST NAME FIRST NAME MIDDLE BIRTH DATE RELATIONSHIP _______________________ ______________ __________ ______________ ______________
PART V VEHICLE INFORMATION
Vehicle 1: MAKE: MODEL: COLOR TAG # _______________________ ______________ __________ ________________ Vehicle 2: MAKE: MODEL: COLOR TAG # _______________________ ______________ __________ ________________ Vehicle 3: MAKE: MODEL: COLOR TAG # _______________________ ______________ __________ ________________
Jake DrouillardMentz
Jake DrouillardMichael
Jake DrouillardCaila
Jake DrouillardGowland
Jake DrouillardFriend
Jake DrouillardFriend
Jake DrouillardFriend
Jake Drouillard
Jake DrouillardClement
Jake DrouillardVictoria
Jake Drouillard
Jake Drouillard1/3/15
Information Release Form
Authorization for Verification of Application for Bella Apartments
Phone: (407) 397-1800 Fax: (407) 397-1810
Have you ever had an eviction filed against you? Applicant: Yes_____ No_____ Spouse: Yes_____ No_____ Have you ever left owing money to an owner or landlord? Applicant: Yes_____ No_____ Spouse: Yes_____ No_____ Have you applied for residency anywhere in the past 2 years, but did not move in? Applicant: Yes_____ No_____ Spouse: Yes_____ No_____ Have you ever had adjudication withheld or committed a crime? Applicant: Yes_____ No_____ Spouse: Yes_____ No______ If you have answered yes to any of the above questions please explain in detail the circumstances regarding the situation on the back of this sheet. Applicant(s) represents that all of the above statements information on the application for rental are true and complete, and hereby authorizes an investigative consumer report and verification of any and all information relating to residential history (rental or mortgage), employment history, criminal history records, court records, and credit records. Applicant acknowledges that false or omitted information herein may constitute grounds for rejection of this application, termination of occupancy, and/or forfeiture of fees or deposits and may constitute a criminal offense under the laws of this State. I /We hereby release APPLICANT SCREENING AND PROCESSING and any of the above from any liability and responsibility arising from their doing so. Facsimiles of this authorization may be used to facilitate multiple inquiries. In the event you receive a facsimile of this authorization, it should be treated as an original and the requested information should be released to facilitate my/our application for residency. _________________________________ _____________________ Applicant Signature Date _________________________________ _____________________ Social Security # Birth Date _________________________________ _____________________ Spouse Signature Date _________________________________ _____________________ Spouse Social Security # Spouse Birth Date
Jake DrouillardX
Jake DrouillardX
Jake DrouillardX
Jake DrouillardX
Jake Drouillard373-13-3731
Jake Drouillard10/03/91
Jake Drouillard
Jake Drouillard
Jake Drouillard1/3/15
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