Apartment ApplicationPLEASE COMPLETE THE FORM BELOW Property Address * Requested Lease Start Date * MM DD YYYY Request Lease Term * Monthly Rent * Name * First Name Last Name Middle Name Social Security No. * Date of Birth * MM DD YYYY Drivers License No. * Drivers License Date * Email Address Mobile Phone * (###) ### #### Home Phone (###) ### #### Work Phone * (###) ### #### Other Occupants Will there be other occupants on the lease? * Yes No Emergency Contacts Emergency Contact Name First Name Last Name Phone of Contact (###) ### #### Relationship of Contact * Address of Contact * Address 1 Address 2 City State/Province Zip/Postal Code Country Applicant's Current Address Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Landlord Name * Landlord Phone Number * (###) ### #### Landlord's Email * Move-In Date * MM DD YYYY Move-Out Date * If less than two years, also complete Previous Address MM DD YYYY Monthly Rent * Reason for moving * Applicant's Previous Address Previous Address Address 1 Address 2 City State/Province Zip/Postal Code Country Landlord Name Landlord Phone Number (###) ### #### Landlord's Email Move-In Date MM DD YYYY Moved-Out MM DD YYYY Monthly Rent Reason for moving Applicant's Current Employer Current Employer * Employer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor Name & Title * Supervisor Phone Number * (###) ### #### Supervisor's Email * Start Date * MM DD YYYY Position * Gross Monthly Income * Applicant's Previous Employer Previous Employer Previous Employer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supervisor Name & Title Supervisor Phone Number (###) ### #### Supervisor's Email Start Date MM DD YYYY End Date MM DD YYYY Gross Monthly Income Other Income Source of other income Amount of Additional Income When/How often received: Source of other income Amount of Additional Income When/How often received: Pets Do you Have Pets? * Yes No Applicant Questions Does anyone who will occupy the property smoke? Yes No Will any waterbeds or water-filled furniture be on the property? Yes No In the last 7 years, has the Applicant been the defendant in an eviction lawsuit? Yes No In the last 7 years, has the Applicant breached a lease or rental agreement? Yes No In the last 7 years, has the Applicant lost property in a foreclosure? Yes No Additional Information Personal or Professional References Reference 1 * First Name Last Name Relationship * Phone/Email * Reference 2 * First Name Last Name Relationship * Phone/Email * Confirmation Following Terms * I warrant that all statements contained in this application are true and accurate and that | have not knowingly withheld any information which would, if disclosed, affect my application unfavorably. I hereby provide the owner or its authorized agent with my consent to communicate with my current and former landlords, as well as my current employer(s) for the purpose of, among other things, verifying the information listed herein. | am aware that a credit history, eviction search, and criminal background check may be conducted in conjunction with my application. Any person or firm is authorized to release information pertaining to my credit history or suitability as a tenant upon presentation of this form or a photocopy of this form. It is understood that any processing fee associated with this application is non-refundable, but that any security deposit received from me will be refunded if my application is not approved. Yes Signature * Date MM DD YYYY Thank you!
