RENTAL APPLICATION

RENTAL APPLICATION
NOTICE: The information requested in this rental application is to permit the Landlord to make decisions as to the general suitability of each applicant. The information provided by the applicant is being relied upon by the Landlord in determining whether or not to approve the application and enter into a lease agreement. True and complete answers must be provided in response to each inquiry. ANY MISREPRESENTATION OR OMISSION OF FACTS IS CAUSE FOR THIS APPLICATION TO BE REJECTED and any Lease Agreement entered into pursuant thereto will be cancelled immediately.

MINIMUM REQUIREMENTS:

Rental History: You must provide current and previous rental/housing details. Additional references may be requested for irregular rental/housing history. Evictions, unpaid rental related debt, or other lease violations or complaints will be considered a basis for rejection.

Employment History: You must provide employment details and should demonstrate consistent employment history. Retired, self-employed or disabled applicants must provide adequate proof of income as indicated below.

Income: You must provide proof of minimal net household income for the type of unit requested. (Net household income is the amount you take home each month).

Background Screening: You must provide information on any past criminal history and consent to a criminal background and credit screening.

Identification: You must provide valid photo identification.

Application Fee: Application will not be processed until application fee is submitted for each adult that will be living in the property.
Today's Date:*

MonthDayYear
Date of Application
Move In Date Requested:*

MonthDayYear
Move In Date Requested
Full Legal Name:*
Enter name as it appears on your photo identification
Date of Birth:*

MonthDayYear
Date of Birth
Age:*
Age
Do you smoke, use e-cigarettes or vape?*
Yes or No
Do you have any pets?*
Yes or No
Social Security Number:*
Social Security Number
Driver's License Number:*
Include State of Issue & Driver's License Number
Phone Number*

Area CodePhone Number
Email Address:*
Additional Occupants: NO PERSON NOT LISTED ON THIS APPLICATION MAY LIVE IN THE UNIT. (Leasing documents define living in the unit as 15 consecutive days or more than 30 nights in any 12 month period without prior written approval). Please list ALL other persons to occupy the residence with you. Additional occupants age 18 or older are also required to submit a separate application.
Additional Occupant's Name (1):*
First Middle Last (Type NA if you will be living alone)
Additional Occupant's Relationship to Applicant (1):*
(Type NA if you will be living alone)
Additional Occupant's Date of Birth (1):

MonthDayYear
Date of Birth
Additional Occupant's Name (2):
First Middle Last
Additional Occupant's Relationship to Applicant (2):
Relationship to Applicant
Additional Occupant's Date of Birth (2):

MonthDayYear
Date of Birth
Additional Occupant's Name (3):
First Middle Last
Additional Occupant's Relationship to Applicant (3):
Relationship to Applicant
Additional Occupant's Date of Birth (3):

MonthDayYear
Date of Birth
RENTAL HISTORY:
Have you ever been evicted or asked to move?*
Yes or No
When were you evicted? (please complete if you answered "Yes" to the eviction question)

MonthDayYear
Date of Eviction
What was the address of the rental you were evicted from? (please complete if you answered "Yes" to the eviction question)
Street Address, City, State, Zip Code
Please provide your current and previous rental references (additional references may be requested for irregular rental history).

*PLEASE NOTE: ALL ADDRESSES ASSOCIATED WITH YOUR NAME AND SOCIAL SECURITY NUMBER WILL SHOW UP ON THE BACKGROUND SCREENING
Current Address:*

Street Address

CityState / Province

Postal / Zip Code
Move In Date:*

MonthDayYear
Move In Date
Move Out Date:*

MonthDayYear
Move Out Date
Monthly Rent:*
Monthly Rent
Were Utilities Included?*
Yes or No
Current Landlord's Name:*
First and Last Name
Current Landlord's Phone Number*

Area CodePhone Number
Current Landlord's Address:*

Street Address

CityState / Province

Postal / Zip Code
Reason for Moving – Be Specific:*
Reason for Moving
Previous Address:*

Street Address

CityState / Province

Postal / Zip Code
Move In Date:*

MonthDayYear
Move In Date
Move Out Date:*

MonthDayYear
Move Out Date
Monthly Rent:*
Monthly Rent
Were Utilities Included?*
Yes or No
Previous Landlord's Name:*
First and Last Name
Previous Landlord's Phone Number:*

Area CodePhone Number
Previous Landlord's Address:*

Street Address

CityState / Province

Postal / Zip Code
Reason for Moving – Be Specific:*
Reason for Moving
EMPLOYMENT HISTORY:
Current Employer Name:*
Current Employer Phone Number:*

Area CodePhone Number
Current Employer Address:*
Street Address, City, State, Zip Code
Date of Hire:*

MonthDayYear
Date of Hire
Supervisor's Name:*
First and Last Name
Job Title:*
Job Title
Hours Worked Per Week:*
Hours Worked Per Week
Net Monthly Pay (Take Home Amount):*
Net Monthly Take Home Pay
Previous Employer Name:*
Street Address, City, State, Zip Code
Previous Employer Phone Number:*

Area CodePhone Number
Previous Employer Address:*
Street Address, City, State, Zip Code
Date of Hire:*

MonthDayYear
Date of Hire
Date Employment Ended:*

MonthDayYear
Date employment Ended
Supervisor's Name:*
First and Last Name
Job Title:*
Job Title
Hours Worked Per Week:*
Hours Worked Per Week
Net Monthly Pay (Take Home Amount):*
Net Monthly Take Home Pay
OTHER INCOME:

List any other sources of verifiable income you would like included in calculating your net household income.
Name of Household Member Receiving Other Income (1):*
First Middle Last (Type NA if there are no other sources of income)
Source of Other Income (1):*
(Type NA if there are no other sources of income)
Monthly Amount of Other Income (1):*
(Type NA if there are no other sources of income)
Name of Household Member Receiving Other Income (2):
First Middle Last
Source of Other Income (2):
Monthly Amount of Other Income (2):
Name of Household Member Receiving Other Income (3):
First Middle Last
Source of Other Income (3):
Monthly Amount of Other Income (3):
CRIMINAL HISTORY: Has ANYONE that would be living in the household ever been ARRESTED or CONVICTED of ANY CRIMINAL FELONY or MISDEMEANOR, been CHARGED WITH DOMESTIC VIOLENCE, been LISTED ON ANY SEX OFFENDER LIST, or have ANY TRAFFIC VIOLATIONS?*
Yes or No
Details About Criminal History:*

Household Member Name (Type NA if there is no criminal history)

Court of Conviction (Type NA if there is no criminal history)

Offense (Type NA if there is no criminal history)Penalty (Type NA if there is no criminal history)

Date of Conviction (Type NA if there is no criminal history)
Details About Criminal History:

Household Member Name

Court of Conviction

Offense Penalty

Date of Conviction
Automobiles: Please list any vehicle that would be parked on the property*

Year (Type NA if you will not have a vehicle at the property)

Make and Model (Type NA if you will not have a vehicle at the property)

Color (Type NA if you will not have a vehicle at the property)License Plate Number (Type NA if you will not have a vehicle at the property)

State of Issuance (Type NA if you will not have a vehicle at the property)
Automobiles: Please list any vehicle that would be parked on the property

Year

Make and Model

Color License Plate Number

State of Issuance
EMERGENCY CONTACT: Please list the name, relationship, address and phone number of the nearest relative not living with you:*
Emergency Contact Name
Relationship to Applicant:*
Relationship to Emergency Contact
Phone Number of Emergency Contact:*

Area CodePhone Number
Address of Emergency Contact:*

Street Address

CityState / Province

Postal / Zip Code
ACKNOWLEDGMENT OF ACCURACY AND CONSENT TO VERIFY:
ACKNOWLEDEGMENT OF ACCURACY AND CONSENT TO VERIFY: I hereby acknowledge that I have reviewed the application requirements and verify that all of the information provided in this application is true and complete. I further authorize the release of any and all information requested by representatives of X1 Properties LLC or SXT Properties LLC to verify any and all information contained in this application, including rental, employment and credit history, as well as obtaining records of all law enforcement agencies.
Applicant Signature*

Clear
You can use entire square when signing from a mobile device.
Date Signed*

MonthDayYear
Date Signed
***Once your application is electronically submitted, someone from our office will contact you for your ID, proof of income and payment of your $40 application fee. (This fee is reduced if you have already submitted a current background and credit screening to us through apartments.com). Your application will not be processed until all items are received.
Should be Empty:

RENTAL APPLICATION

RENTAL HISTORY:

EMPLOYMENT HISTORY:

OTHER INCOME:

ACKNOWLEDGMENT OF ACCURACY AND CONSENT TO VERIFY: