STANDARD RENTAL APPLICATION

STANDARD RENTAL APPLICATION(Application Charge: $35.00 Non-Refundable. Equal Housing Opportunity)

IMPORTANT NOTE: Please take a few moments to complete the following rental application for the property located at:

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The information you provide will help us review your application and we expect all questions to be answered honestly. Although your credit may be taken into account the most important thing is that your application is answered honestly. If any of the information found on this document is determined to be intentionally falsified your application will be immediately disqualified from consideration.

Please Tell Us About YourselfFull Name______________________________________ Phone ( ) ______________________

DOB____________________________ Social Security #___________________________________

Email Address _________________________________ Cell Phone ( )__________________

Drivers License # __________________________________ State Of Issue __________________

Vehicle Information (Make/Model, Year, & License Plate #)

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Co-Applicant _________________________________ Phone ( ) ______________________

Co-Applicant DOB_________________________ Social Security #_______________________

Drivers License # __________________________________ State Of Issue __________________

Vehicle Information (Make/Model, Year, & License Plate #)

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# Of Dependents __________ Name Of Dependents __________________________________

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List All Pets: ____________________________________________________________________________________

Please Give Residential Rental History (Past 2 Years, List Most Recent First)Current Address____________________________________________________________________

City_______________________________________ State________________ Zip________________

Month & Year Moved In________________________ Monthly Rent $______________________

Reasons For Leaving________________________________________________________________

Current Landlords Name __________________________________________________________

Phone ( ) _____________________________

Previous Address___________________________________________________________________

City_______________________________________ State________________ Zip________________

Month & Year Moved In________________________ Monthly Rent $______________________

Reasons For Leaving________________________________________________________________

Current Landlords Name __________________________________________________________

Phone ( ) _____________________________

Please Give Us Your Employment InformationMain Applicants Status: Full Time Part Time Student Unemployed

Current Employer/School___________________________________________________________

Hire Date_______________________________ Job Title__________________________________

Supervisor Name_________________________________ Phone ( )_____________________

Salary $_________________per________________If Employed Less Than 12 Months Please Give Name & Phone Of Previous Employer:

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Co-Applicants Status: Full Time Part Time Student Unemployed

Current Employer/School___________________________________________________________

Hire Date_______________________________ Job Title__________________________________

Supervisor Name_________________________________ Phone ( )_____________________

Salary $_________________per________________If Employed Less Than 12 Months Please Give Name & Phone Of Previous Employer:

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Any Other Sources Of Income You Wish To Disclose _________________________________

Please List Your ReferencesReference #1 (Personal Non-Relative)

Name ___________________________________________ Phone ( )_____________________

Reference #2 (Credit Reference)

Name ___________________________________________ Phone ( )_____________________Reference #3 (Credit Reference)

Name ___________________________________________ Phone ( )_____________________Please circle either YES or NO for each of the following 8 questions. Additionally, if you answer YES to any of the following questions, please provide a written explanation on the other side of this page.

1. Have you ever been convicted of a crime?

YES / NO

2. Have you ever spent any time in prison/jail for any reason?

YES / NO

3. Have you filed for personal bankruptcy within the last 7 years?YES / NO

4. Have you ever been evicted from any place youve lived?

YES / NO

5. Are you in any way NOT considered to be a full U.S. citizen?YES / NO

6. Have you been a party to any lawsuits within the last 10 years? YES / NO

7. Are there any outstanding judgments against you?

YES / NO

Are you obligated to pay any alimony or child support?

YES / NOI hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the owners cost, time, and effort in processing my application. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

The above information is true and correct.

Please sign X___________________________________________________ ___________

Name of Applicant Date

Please sign X___________________________________________________ ___________

Name of Co-Applicant Date

Authorization To Release InformationI agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting the above mentioned property.

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Name (please print)

Name (please print)

X_______________________________________ X_______________________________________

Signature

Signature

APPLICANT: PLEASE DO NOT WRITE BELOW (Office Use Only)

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