Application to Rent or Lease

Building:

Apartment #:

Desired Apartments Size: Studio1 Bedroom / 1 Bathroom2 Bedroom / 1 Bathroom2 Bedroom / 2 Bathroom3 Bedroom / 2 Bathroom

Desired Move-in Date:

Applicants

First:

Middle:

Last:

Birthday:

Social Security:

Drivers License:

State:

Spouse

Other names ever used in the past including maiden name:

Home Phone:

Business Phone:

List all additional adults and children:

Age:

Relationship to Applicant:

Residences

Credit Information

Name of Bank:

Branch or Address:

Account number:

Approx Balance:

Checking:

Saving:

Credit References

Store / Finance co. / Bank / etc:

Address / City:

Phone:

Present Balance:

Monthly Payment:

Personal References

Emergency Contact:

Address / City:

Relationship:

Phone:

Time Known:

Occupation:

Vehicles

Are you the registered owner? Yes No — if not, who:

Year

Make

Model

Color

License Number

State

Automobiles including trucks & motorcycles:

General Information

• Have you ever had any credit problems? yes no
• Have you ever had a 3 day notice served on you and/or an unlawful detainer filed against you? yes no
• Have you ever been evicted for non-payment of rent or for any other reason? yes no
• Do you have any pets? yes no — if yes, how many? — describe type:
• Do you intend to use any water filled furniture in your residence? yes no

Applicant represents that all information on this application is true and correct and hereby authorizes verification of all references and facts including but not limited obtaining unlawful detainer and credit reports. Applicant hereby waives claim from liability any person providing or obtaining said notifcation or additional information.

Name:

Dated: