APPLY CHECK FORM
Please read carefully before signing. This form gives permission for ApplyCheck to pull your credit and criminal reports to submit to the Association to where you are applying to live.
Name of Association you are applying to
Unit number of property you are applying to rent or purchase
FIRST NAME
*
MIDDLE
LAST NAME
*
Other LAST names known by
CURRENT ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SOCIAL SECURITY NUMBER
*
DATE OF BIRTH
*
-
Month
-
Day
Year
Date
DRIVERS LICENSE NUMBER
STATE ISSUED
DRIVERS LICENCE EXPIRATION DATE
PREVIOUS ADDRESS
*
APARTMENT COMPLEX NAME (If Applicable)
Your Phone Number
*
Please enter a valid phone number.
Your Email Address
*
example@example.com
MOVE-IN DATE
*
-
Month
-
Day
Year
Date
MOVE-OUT DATE
*
-
Month
-
Day
Year
Date
MONTHLY RENT
*
Have you ever been evicted from any leased property?
*
YES
NO
At your current address, do you;
*
OWN
LEASE
LIVE WITH FAMILY OR FRIEND
Have you ever plead guilty or 'no contest' to a crime that has not been expunged or removed form your record?
*
YES
NO
If yes, please explain conviction, include city/state/year for each or any conviction
Signature
*
Date
*
-
Month
-
Day
Year
Date
Signature - Disclosure and acknowledgement agreement
*
Date
*
-
Month
-
Day
Year
Date
Print Full Name
*
First Name
Last Name
Submit
Should be Empty: