Application for Residency

Unit Information

The undersigned hereby makes application to rent apartment (unit number):
Located at:
Monthly Rent:
Lease Term:
Security Deposit:
Earnest Money Paid:

Household Information

Complete the following information for each household member that will occupy the unit at the time of move-in and throughout the term of the lease APPLICATION MUST BE COMPLETED IN FULL. FALSIFICATION OF INFORMATION IS GROUNDS FOR DENIALS
Tenant 1 Name:
Tenant 1 Driver's License:
Tenant 1 SSN:
Tenant 1 (Male/Female):
MF
Tenant 1 Birthdate:

Tenant 2 Name:
Tenant 2 Driver's License:
Tenant 2 SSN:
Tenant 2 (Male/Female):
MF
Tenant 2 Birthdate:

Tenant 3 Name:
Tenant 3 Driver's License:
Tenant 3 SSN:
Tenant 3 (Male/Female):
MF
Tenant 3 Birthdate:

Tenant 4 Name:
Tenant 4 Driver's License:
Tenant 4 SSN:
Tenant 4 (Male/Female):
MF
Tenant 4 Birthdate:

Tenant 5 Name:
Tenant 5 Driver's License:
Tenant 5 SSN:
Tenant 5 (Male/Female):
MF
Tenant 5 Birthdate:

Tenant 6 Name:
Tenant 6 Driver's License:
Tenant 6 SSN:
Tenant 6 (Male/Female):
MF
Tenant 6 Birthdate:

Tenant 7 Name:
Tenant 7 Driver's License:
Tenant 7 SSN:
Tenant 7 (Male/Female):
MF
Tenant 7 Birthdate:

Where can you be reached?
Daytime Phone#
Evening Phone#
Do you expect any additions to the household within the next 12 months?
YesNo
Name & Relationship
Have you, or any other person named on this application, ever been convicted of a crime related to disturbance of neighbors, destruction of property, drug-related felonious criminal activity or violence to persons or property?
YesNo
Explanation:
Do you have or do you anticipate having any pets?
YesNo
Explanation:
Do you owe past due rent or other monetary obligations to your current landlord or a previous landlord?
YesNo
Do you wish to receive a written explanation of denial of tenancy?
YesNo

Emergency Contact

Name:
Address:
Phone #:
Relationship:

Applicant's Rental History

How many years have you rented?
Have you ever refused to pay rent?
YesNo
Have you ever been evicted or asked to leave?
YesNo
Current Address:
Rent:
From (date):
To (date):
Landlord's Name:
Landlord's Address:
Landlord's Phone#:
Landlord's Fax#:

Previous Address:
Rent:
From (date):
To (date):
Landlord's Name:
Landlord's Address:
Landlord's Phone#:
Landlord's Fax#:

Previous Address:
Rent:
From (date):
To (date):
Landlord's Name:
Landlord's Address:
Landlord's Phone#:
Landlord's Fax#:

Vehicle Information

Car #1 Primary Driver's Name:
Make/Model/Year/Color:
Plate #:
Driver's License #:

Car #2 Primary Driver's Name:
Make/Model/Year/Color:
Plate #:
Driver's License #:

Applicant's Income/Credit

Include all source of income you want considered in this application

Place of Employment:
How many hours per week?:
Address:
How long have you been employed here? (give dates)
From:
To:
Gross Monthly Income:
Supervisor's Name:
Phone #:

Place of Employment:
How many hours per week?:
Address:
How long have you been employed here? (give dates)
From:
To:
Gross Monthly Income:
Supervisor's Name:
Phone #:

Place of Employment:
How many hours per week?:
Address:
How long have you been employed here? (give dates)
From:
To:
Gross Monthly Income:
Supervisor's Name:
Phone #:

Other Sources of Income

Will you be receiving any other income that you want considered with this application (e.g., Section 8 Rental Assistance. 551, Social Security, public assistance, W-2, alimony, child support, savings, trust funds. scholarships, or any other type of income)? If so, please pmvide the following information for verification.
Source of Income (Name of Agency):
Address of Agency:
Contact Person's Name:
Phone #:
Amount of Income:
Source of Income (Name of Agency):
Address of Agency:
Contact Person's Name:
Phone #:
Amount of Income:
Self Employed Applicants: If you are self employed you will need to provide the following information: Tax returns, business license, bank records and/or vendor names, with addresses and phone numbers for verification.

Applicant's Credit References

Have you ever filed for bankruptcy?
YesNo
Credit Reference:
Address & Phone #:
Type & Account Number:
Credit Reference:
Address & Phone #:
Type & Account Number:
Credit Reference:
Address & Phone #:
Type & Account Number:
Credit Reference:
Address & Phone #:
Type & Account Number:

Signature Clause

The purpose of the application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease. I have no rental agreement with the Landlord before the time of the lease signing.

I have paid the earnest money deposit and credit check fee indicated on this application. The earnest money deposit will be applied to my security deposit or my first month's rent if the Landlord enters into a lease or rental agreement with me. If this Application is approved, and I fail to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the Landlord's costs and damages, subject to the Landords duty to mitigate. If this application is rejected or withdrawn or if no action is taken by the end of the ____ calendar day following receipt of the earnest money, the earnest money and any subsequent payments will be refunded by the end of the next busniness day. The credit report fee is nonrefundable.

I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency.

I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duly to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about the property.

I warrant and represent that I am at least 18 years of age and that all information and answers to the above questions are true and complete to the best of my knowledge. I understand that providing false information or making false statements may be grounds for denial of my application. I also understand that such action may result in criminal penalties. I understand that my occupancy is contingent on meeting management's resident selection criteria.
Signature:
Date:
Signature:
Date:

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