Rental Application for Platinum Court Apartments

Platinum Court Apartments

Rental Application
Today's Date*

MonthDayYear
Date of Desired Move In*

MonthDayYear
Desired Unit Type
Applicant Details
Applicant Name*

First NameLast Name
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number (home)*

Area CodePhone Number
Phone Number (work)*

Area CodePhone Number
Date of Birth*

MonthDayYear
Social Security Number*
Driver's License #*
Applicant's Employment
Name of Applicant's Current Employer*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position*
Date Started*

MonthDayYear
Monthly Income*
Supervisor's Name*
Supervisor's Phone*

Area CodePhone Number
Name of Applicant's Previous Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Date Started

MonthDayYear
Monthly Income
Other sources of income
Spouse/Partner Details
Spouse/Partner's Name

First NameLast Name
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (home)

Area CodePhone Number
Phone Number (work)

Area CodePhone Number
Date of Birth

MonthDayYear
Social Security Number
Driver's License #
Spouse/Partner's Employment
Name of Spouse/Partner's Current Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Date Started

MonthDayYear
Monthly Income
Supervisor's Name
Supervisor's Phone

Area CodePhone Number
Name of Spouse/Partner's Previous Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Date Started

MonthDayYear
Monthly Income
Supervisor's Name
Supervisor's Phone

Area CodePhone Number
Other sources of income
References
Present Landlord or Mortgage Company*
Phone Number (home)*

Area CodePhone Number
Phone Number (work)*

Area CodePhone Number
Monthly Rent or Mortgage Payment*
Date of Move-in*

MonthDayYear
Date of Move-out*

MonthDayYear
Personal References
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
In case of emergency contact:
Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Occupants
List all occupants*
Pets
Type
Dog, cat, other - also include breed, weight and age
Type
Dog, cat, other - also include breed, weight and age
Vehicle(s) to be parked at residence
Make, Model & Year*
Make, Model & Year
Credit/Criminal History
Bank name*
Bank Phone*

Area CodePhone Number
Branch Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Checking Account Number*
List all credit obligations with minimum monthly payment*
Have any of the above listed occupants been:
Convicted of a felony?*

YesNo
Received deferred adjudication for a felony?*

YesNo
Been evicted?*

YesNo
Broken a lease?*

YesNo
Declared bankruptcy?*

YesNo
The above listed applicant declares that all statements made in this application are true and complete. Applicant hereby authorizes the National Association of Independent Landlords to verify all of the information in this application and obtain credit reports on the above listed applicant and/or applicant's. If applicant or applicant's spouse has given any false information Landlord is entitled to reject the application, and retain all application fees as liquidated damages for Landlord's time and expenses in processing this application. Applicant shall give Landlord a nonrefundable application fee in the amount of $35.
Applicant Signature*

Clear
Today's Date*

MonthDayYear
Spouse/Partner Signature

Clear
Today's Date

MonthDayYear
Please verify that you are human*
Should be Empty:

Platinum Court Apartments

Applicant Details

Applicant's Employment

Spouse/Partner Details

Spouse/Partner's Employment

References

Personal References

In case of emergency contact:

Occupants

Pets

Vehicle(s) to be parked at residence

Credit/Criminal History

Have any of the above listed occupants been: