Smart Way Application

Reference 1 Name *

First Name Last Name

Reference 1 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Reference 1 Phone *

Please enter a valid phone number.

Reference 1 Relation to Applicant *

Reference 2 Name *

First Name Last Name

Reference 2 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Reference 2 Phone Number *

Please enter a valid phone number.

Reference 2 Relation to Applicant *

Reference 3 Name *

First Name Last Name

Reference 3 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Reference 3 Phone Number *

Please enter a valid phone number.

Reference 3 Relation to Applicant *

Reference 4 Name

First Name Last Name

Reference 4 Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Reference 4 Phone Number

Please enter a valid phone number.

Reference 4 Relation to Applicant

How did you hear about us? *

Radio Google Friend / Family Facebook Drive by Signage

RELEASE OF INFORMATION TO SMARTWAY: (PLEASE READ BEFORE SIGNING)

The information I have provided on this form is correct. I hereby authorize SmartWay, its agents and employees, and assignees of my rental purchase agreement to make whatever inquiries it considers necessary regarding the information that I have provided in my application, to verify the information submitted, including past, present and future information regarding my credit history, employment, and residence. I understand that verification may include inquiries to those persons and institutions identified in my application (references, employers, creditors and landlords). I understand that the inquiries are in connection with the approval of the initial lease, a review, or collection of my account. This authorization is valid through the duration of any rental purchase agreement I may have with SmartWay.

I AM APPLYING FOR A LEASE AND AM OVER EIGHTEEN (18) YEARS OF AGE.

By typing my name in the box below, I am electronically indicating my intent to sign the application. I understand that an electronic signature has the same legal effect as a written signature and can be enforced in the same way.

Signature *

Clear

Smart Way Application

Step 1 of 3 - Applicant Information

Step 2 of 3 - Employment Information

Optional Step: Co-Applicant Information

Step 3 of 3 - References