Rental Application

Name*

First NameLast Name

SS#*

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How Long At This Address*

Cell Phone Number*

Area CodePhone Number

Other Phone Number (if you have one)

Area CodePhone Number

Employed By*

Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employer Phone Number*

Area CodePhone Number

Salary *

Position*

How Long*

Other Income

How Often

WeeklyBi-monthlyMonthly

Current Landlord*

First NameLast Name

Phone Number*

Area CodePhone Number

Previous Landlord*

First NameLast Name

Phone Number*

Area CodePhone Number

Previous Landlord*

First NameLast Name

Phone Number*

Area CodePhone Number

Emergency Contact*

First NameLast Name

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference*

First NameLast Name

Reference Phone Number*

Area CodePhone Number

Property To Rent

Number of Adults to Live in Unit*

All Adults That Will Be Living At This Location Will Have To Fill Out A Credit Application

Number of children that will live in the unit

Do you have pets?

YesNo

What Kind?

I UNDERSTAND THAT THERE IS A $30.00 NON-REFUNDABLE APPLICATION FEE, WHICH MUST ACCOMPANY THIS APPLICATION. I AUTHORIZE NORTHPARK PROPERTIES GROUP, INC. TO OBTAIN ANY AND ALL CREDIT INFORMATION ON ME, INCLUDING A CREDIT REPORT AND CRIMINAL HISTORY. I FURTHER AUTHORIZE ANY PERSON OR COMPANY TO RELEASE TO NORTHPARK PROPERTIES GROUP, INC. ANY INFORMATION REGARDING MY RENTAL OR CREDIT HISTORY. ALSO, I AUTHORIZE NORTHPARK PROPERTIES GROUP, INC. TO RELEASE RENT AND CREDIT INFORMATION TO ANY PARTY IN THE FUTURE RELATED TO MY DEALINGS WITH NORTHPARK PROPERTIES GROUP, INC. AND I FULLY RELEASE ALL PARTIES FROM LIABILITY FOR DAMAGE THAT MIGHT RESULT. NOTICE OF ACTION ON THIS APPLICATION MAY BE SENT TO THE ABOVE ADDRESS OR THE FOLLOWING

Applicated Signature

My Products

Application Fee$30.00

Subtotal $0.00Tax $0.00Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration