PHX-GLD 20 Rental Application

Mailing Address: 1781 Golden Blvd, Billings, MT 59102
Name

First NameLast Name
RESIDENTIAL RENTAL APPLICATION
Each adult must complete a separate application. Once applications are approved, a credit/background report will be requested via an email from KEYCHECK. A Non-Refundable Fee of $39.95 to KEYCHECK will be required at that time.
ALL UNITS ARE NON-SMOKING
Which address are you applying for:
TENANCY
Type/Length: (minimum of 90 day stay)
Have you or anyone that lives with you, rented from the above previously?
Yes or No, If Yes please state the name below.
CHECK IN Date:

MonthDayYear
Date
CHECK OUT Date:

MonthDayYear
Date
APPLICANT DETAILS
Full Name:
DOB:
SSN:
Driver's License No.
Phone:
E Mail:
example@example.com
Other Occupants?

YesNo
If Yes, Describe:
Vehicles (2 maximum)

NoYes
If Yes, Describe:
Ever Been Convicted of a Crime?

YesNo
If Yes, Describe:
Ever Filed for Bankruptcy?

YesNo
Ever Been Evicted?

YesNo
Current EMPLOYER:
Type of Work:
Gross Monthly Income:
Supervisor/Employer:
Phone:
Upcoming EMPLOYER:
Type of Work:
Dates from?

MonthDayYear
Date
Gross Monthly Income:
Supervisor/Employer:
Phone:
Other INCOME Source(s) to be considered (provide documentation upon request):

Financial AidSocial SecuritySelf EmploymentPension
CURRENT RESIDENCE
Type (Apt, Home, Condo, Room):
Rent Amount:
Street Address:
City:
State:
Zip:
How long at this Address?
Current Lease Expiration Date:

MonthDayYear
Date
Reason for Moving?
Current LandlordName:
Phone:
E Mail:
example@example.com
PAST, PRIMARY or PERMANENT RESIDENCE
Type (Apt, Home, Condo, Room):
Street Address:
City:
State:
Zip:
Rent:
Own:
FINANCIAL INFORMATION
Bank:
Type:

CheckingSavings
Payment Preference; *additional fees may applied

Check (must be received 30 days prior to check in)PayPal (Friends & Family)VenmoCredit Card (via PayPal)
PERSONAL REFERENCES
Full Name:
Relationship:
E Mail:
example@example.com
Phone:
Full Name:
Relationship:
E Mail:
example@example.com
Phone:
VEHICLES (2 max per unit)
Year:
Make:
Model:
License Plate#:
Year:
Make:
Model:
License Plate#:
NO OTHER PERSONS TO RESIDE, AT ANY TIME, WITHOUT WRITTEN CONSENT OF LANDLORD
I hereby certify that I am at least 18 years of age. Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords, employers, and personal references. Applicant hereby authorizes owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Telechecks, and/or Criminal Background Reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.
Applicant's Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

RESIDENTIAL RENTAL APPLICATION

ALL UNITS ARE NON-SMOKING

TENANCY

APPLICANT DETAILS

CURRENT RESIDENCE

FINANCIAL INFORMATION

PERSONAL REFERENCES

VEHICLES (2 max per unit)

NO OTHER PERSONS TO RESIDE, AT ANY TIME, WITHOUT WRITTEN CONSENT OF LANDLORD