Rental Application for APM100

Our company policy is to screen the applications in the order they were received.

Applications (submitted by all applicants over 18 who will be occupying the home) must be received at this office before it will be considered "received".

ARCATA PROPERTY MANAGEMENT is committed to supporting the Fair Housing Act prohibiting discrimination based on race, religion, color, sex, national origin, handicap or familiar status, as such, we will accept as tenants the first qualified applicant.

First Name*

Middle Name*

Last Name*

Social Security Number*

Date of Birth*

Marital Status*

Driver's License #*

Driver's License State*

Phone*

Phone Type*

Phone 2

Extension

Optional

Phone 2 Type

Email Address*

example@example.com

Address Line 1*

City, State, & Zip*

Length of Time*

Present Landlord Name*

Present Landlord Phone*

Reason for Leaving*

Amount for Rent*

Is your present rent up to date?*

Address Line 1

City, State, Zip

Length of Time

Landlord Name

Landlord Phone

Reason for Leaving

Amount of Rent

Was your rent up to date?

Address Line 1

City, State, Zip

Length of Time

Landlord Name

Landlord Phone

Reason for Leaving

Amount of Rent

Was your rent up to date?

	Yes	No
Has applicant ever been sued for bills?
Has applicant ever been bankrupt?
Has applicant ever been guilty of a felony?
Has applicant ever broken a lease?
Has applicant ever been locked out of their apartment by the sheriff?
Has applicant ever been brought to court by another landlord?
Has applicant ever moved owing rent or damaged an apartment?
Is the total move-in amount available now (rent and deposit)?

Personal Information

Present Home Address

Previous Home Address

Next Previous Home Address

Proposed Occupant(s)

Proposed Occupant 1

Proposed Occupant 2

Proposed Occupant 3

Proposed Occupant 4

Proposed Occupant 5

Proposed Pet(s)

Proposed Pet 1

Proposed Pet 2

Proposed Pet 3

Vehicle Information

Vehicle 1

Vehicle 2

Employment

Current Employer 1

Current Employer 2

Income

Income Source 1

Income Source 2

Income Source 3

Credit Card/Financial Information

Car Loan

Credit Card 1

Credit Card 2

Credit Card 3

Child Support or Other Credit Owed

Bank Account

Emergency / Personal Reference Information

Emergency Contact 1

Emergency Contact 2

Personal Reference 1

Personal Reference 2

Application Questionnaire & Authorization