Wayne Songy & Associates, Inc. Rental Application

Date/Time of Application

Date

Hour Minutes AM/PM Option

Desired Move in Date

Address of Property

Lease Term

Who Showed You the Property?

Brokerage Affiliation

Application Fee of $40.00 Per Applicant is non-refundable.

Driver's License and Recent Pay Stub Required for Proof of Identity and Income.

(Links are at the bottom of the form for uploading files and to pay the fee)

Full Name of Applicant

SS#

Date of Birth

Driver's License #/State

Full Name of Co-Applicant

SS#

Date of Birth

Driver's License #/State

Add Other Residents (Name/Age/Relationship)

Applicant's Marital Status

Married or Divorced Since (Give Date)

Applicant's Current Address

Current Phone

Own/Rent/Other

Length of Time at this Address

Amount of Rent/Mortgage

Reason for Leaving?

Name of Present Landlord

Phone

Applicant's Previous Address

Own/Rent/Other

Length of Time at this Address

Amount of Rent/Mortgage

Reason for Leaving?

Name of Previous Landlord

Phone

Employment Status (Select One)

Employed By:

Employers Phone:

Employer's Address

Supervisor

Present Income (Amount Per....)

Position Held

Department

How Long Have You Been Employed With This Company?

If Student, Name of School

Co-Applicant's Present Address

Current Phone

Own/Rent/Other

Length of Time at Address

Amount of Rent/Mortgage

Reason for Leaving

Name of Present Landlord

Phone

Co-Applicant's Previous Address

Own/Rent/Other

Length of Time at Address

Amount of Rent/Mortgage

Reason for Leaving?

Name of Previous Landlord

Phone

Employment Status (Select One)

Employed By:

Employer's Phone:

Employer's Address

Supervisor

Present Income (Amount Per....)

Position Held

Department

How Long Have You Been Employed With This Company?

If Student, Name of School

Do You Have Pets

Yes No

How Many?

What Kind?

Weight?

Make/Model

Year

Color

License Number

Own Another Vehicle?

Yes No

Make/Model

Year

Color

License Number

Own Another Vehicle?

Yes No

Make/Model

Year

Color

LIcense Number

Have you or anyone living in your household ever:

Been Convicted of a Felony?

Yes No

Been Convicted of a Sex Crime?

Yes No

Filed Bankruptcy?

Yes No

Been Evicted From a Residence That You Rented?

Yes No

Been Brought to Court by Another Landlord?

Yes No

Is Anyone in Your Household a Smoker?

Yes No

Is the Rent and Deposit Available Now?

Yes No

In Case of an Emergency, Notify:

Address

Phone Number

Relationship

Name of Personal Reference (Must be someone other individuals named above)

Phone Number

Address

Upload Files

Applicant(s) represent that they have read all of the above and that all of the information provided herein is true, correct, and complete, and applicant(s) hereby authorize Wayne Songy & Associates, Inc. through it's representative to verify and all of the aforementioned information, references, and credit records to include but not be limited to rent history, employment verification and history, and credit history from a national depository.

Wayne Songy & Associates, Inc. may address this authorization to any party named in the application.

A fax or a copy of this authorization may be accepted as an original. Applicant(s) acknowledge that false or incomplete information may constitute grounds for rejection of this application, termination of the right of occupancy, and/or forfeiture of deposits and may constitute a criminal offense under the laws of the State of Louisiana.

This application is made with the understanding that it is subject to the acceptance by the owner of the property. Please allow 2 to 4 days to process this application. Security deposits are always turned over to the property owner and are not held by the agent or manager.

The application fee to process the application is nonrefundable.

WE DO BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW AND DO NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, FAMILIAL STATUS, OR HANDICAP.

PLEASE READ CAREFULLY BEFORE SIGNING.

Applicants Signature

Applicant Date Signed

Date

Applicant's Printed Name

Applicant's SS#

Co-Applicants Signature

Co-Applicant Date Signed

Date

Co-applicant's Printed Name

Co-applicant's SS#

Applicant's Information

Applicant's Employment Information

Co-Applicant's Information

Co-Applicant's Employment Information

Pet Information

Vehicles Owned Information

Other Information

Upload Files

Verify Information is Correct