Wayne Songy & Associates, Inc. Rental Application

To the applicant: We thank you for your application. Please assist us in the processing of your application by clearly completing all of the information requested.
Date/Time of Application

Month Day Year
Date
Hour Minutes AM/PM Option
Desired Move in Date
Address of Property
Lease Term
Who Showed You the Property?
Brokerage Affiliation
Agent Email
example@example.com
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)

Note: All applicable fields must be completed before application will be run.
Applicant's Information
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 Current Address
Current Phone
Applicant's Email Address
example@example.com
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
Applicant's Employment Information
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 Information
Co-Applicant's Present Address
Current Phone
Co-Applicant's Email Address
example@example.com
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
Co-Applicant's Employment Information
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
Pet Information
Do You Have Pets

Yes No
What Kind?
What Breed?
How Many?
What size?
Vehicles Owned Information
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
Other Information
Have you or anyone living in your household ever:
Been Convicted of a Felony?

Yes No
Type?
Date of Conviction
Been Convicted of a Sex Crime?

Yes No
Filed Bankruptcy?

Yes No
Date of Bankruptcy
Been Evicted From a Residence That You Rented?

Yes No
Date of Eviction
Reason for Eviction
Been Brought to Court by Another Landlord?

Yes No
Court Date
Reason for Going to Court
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

Upload a picture of your driver's license and of a recent pay stub
Upload Files

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Cancel of
Verify Information is Correct
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

Month Day Year
Date
Applicant's Printed Name
Applicant's SS#
Co-Applicants Signature
Co-Applicant Date Signed

Month Day Year
Date
Co-applicant's Printed Name
Co-applicant's SS#
Should be Empty:

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