Application to Lease Property Address:* Anticipated: Move-in Date* MM slash DD slash YYYY Monthly Rent $*Security Deposit $*Your InformationApplicant's name (first, middle, last)* Email* Mobile Phone*Soc. Sec. No.* Drivers License No.* Date of Birth* MM slash DD slash YYYY Marital Status* Citizenship* EMERGENCY CONTACT Name and No* Your Current AddressAddress (City, State, Zip Code)* Landlord’s Name* Phone No.*Date moved-In* MM slash DD slash YYYY Date Moved-Out* MM slash DD slash YYYY Rent $* Reason for Move* Your Parent’s InformationParent Name 1* Parent Phone Number 1*Parent Address 1 City State ZIP / Postal Code Parent Name 2* Parent Phone Number 2*Parent Address 2 (If Applicable) City State ZIP / Postal Code Your Current EmployerYour Current Employer* Address* Supervisor’s Name* Phone*Start Date* MM slash DD slash YYYY Gross Monthly Income $*Position* Name of other persons who will occupy the PropertyName* Phone*Relationship* Age* Name* Phone*Relationship* Age* Name* Phone*Relationship* Age* Name* Phone*Relationship* Age* Bank’s Name and Phone to contact to verify good funds for any rent, fee or deposit* Vehicle InfoType* Year* MM slash DD slash YYYY Make Model* License/State* Pets to be kept on the PropertyType & Breed* Name* Color* Weight* Age* Gender* Neutered* Yes No Declawed* Yes No Shots Current* Yes No Your HistoryDo You Smoke?* Do You Have a Pet?* Have You Ever Been Evicted or Asked to Move Out?* If Yes, Why?* Have You Breached a Lease or Rental Agreement?* Filed for Bankruptcy?* Had Any Credit Problems?* Been Charged or Convicted of a Felony?* Been Charged or Convicted Of a Sex- Related Crime?* Been Sued for Rent or Property Damage?* If Yes, Why?* Are There Any Criminal Matters Pending Against the Applicant?* Fees: Applicant submits a non-refundable fee for processing and reviewing this application and submits a security deposit, equal to one month rent, upon execution of a lease or returned to Applicant if a lease is not executed.Signature 1*Date* MM slash DD slash YYYY Signature 2*Date* MM slash DD slash YYYY CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
