RENTAL APPLICATION FORM

RENTAL APPLICATION FORM
FOR OFFICE USE ONLY

Each applicant must complete a separate application.

Date of Application

Unit Address

Monthly Rental Rate

Security Deposit

Co Applicant

APPLICANTS PLEASE COMPLETE ALL QUESTIONS. WRITE N/A if not applicable.
Name*

First NameLast Name
Co-Signer*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Social Security Number*
Driver's License Number*
State Issued*
Driver's License Expiration*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Current or Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Community Name*
Lease Expiration Date*

MonthDayYear
Date
Manager's Name*

First NameLast Name
Landlord or Manager's Phone Number*
Rental Rate*
How Long There?*
Why are you moving?*
How did you hear about us?*

Prior Residence

Last two residence are required for this application
Community Name*
Manager's Name*

First NameLast Name
Manager's Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How Long There?*
Have you ever been evicted?*
Describe any rental agreement you have not completed?*

CURRENT EMPLOYMENT
Employer *
Supervisor Name*

First NameLast Name
Supervisor or Verifying Personnel Phone Number*
Please enter a valid phone number.
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position*
Years Employed*
Current Income (Weekly/Monthly),*
Do you know of anything that may interrupt income or ability to pay rent*
PREVIOUS EMPLOYMENT
If current employment is less than two years.
Employer Name*
Supervisor*
Supervisor or Verifying Personnel Phone Number*
Please enter a valid phone number.
Business Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Years Employed*

VEHICLE INFORMATION
Complete vehicle information if you will park your vehicle at the unit.
Vehicle Year
Vehicle Make
Vehicle Color
Vehicle Tag Number
State

An applicant and application fee is required. The application fee of $ 50.00 is non-refundable and due at time of application. A $85.00 good faith deposit to hold the unit can be submitted; which will be applied to all monies due at time of move-in. Acceptance of this application and any monies deposited herewith are not binding upon Landlord until the application is approved.
NOTICE:
1.Applicant may withdraw this application within 48 hours after submitting the application and all monies shall be returned except for the processing charge.

2.If this application is withdrawn after 48 hours, all monies will be forfeited.

3.If this application is not approved, all monies shall be refunded except for the application fee.

4.In the event of a refund, 30 days should be allowed for all checks to clear the bank and for regular accounts payable processing or the Applicant's original check(s) shall be returned.
5.Landlord is authorized to contact emergency contact person in the case of an emergency.

IF MY APPLICATION IS APPROVED. AND A LEASE IS SIGNED. THE GOOD FAITH DEPOSIT SHALL BE APPLIED TOWARDS MY SECURITY/DAMAGES DEPOSIT. ACCEPTANCE OF THIS APPLICATION AND ANY MONIES DEPOSITED HEREWITH ARE NOT BINDING UPON LANDLORD UNTIL THE APPLICATION iS APPROVED AND ALEASE IS SIGNED.

I certify that all of the information provided in this Application is complete and correct. I authorize Landlord or his agent to verify the accuracy of these statements, to communicate with my employers and creditors, and to procure such other information, including a credit report or criminal history, which may be required to evaluate this application. False information stated on this application may constitute grounds for rejection of this application and forfeiture of deposits. Landlord may terminate any agreement entered into in reliance on any misstatement made.
Have you, and Co-applicant, or proposed occupant ever been convicted of a felony or any crime involving illegal drugs? *
Are you, any Co-applicant or proposed occupant listed on, or required to be registered under any sexual predator notification registries?*
Applicant's Signature*

Clear
Date Signed*

Clear
REQUEST FOR VERIFICATION OF EMPLOYMENT
TO*
DATE*

MonthDayYear
Date

The person named below has made an application for an apartment with us. Your firm was listed as having currently or formerly employed this person. The applicant, by his/her signature below, has authorized you to release their employment information. To accurately determine eligibility please list all income the employee is anticipated to receive for the next 12 calendar months. Your assistance in providing this information will be greatly appreciated. Thank you.
Employee's Name*
Employee Address*
Employee City*
Employee State*
Employee Zip Code*
Employee's Social Security Number*
APPLICANT'S AUTHORIZATION OF THIS INQUIRY
I hereby consent to the release of my employment information.
Employee's Signature*

Clear
Date Signed*

Clear

REQUEST FOR RESIDENCY VERIFICATION
The person(s) named below has made application for apartment/housing rental with us. You were listed as having rented to the applicant. The applicant, by his/her signature below, has authorized you to release information about prior residency. Your comments or recommendations on this matter will be sincerely appreciated. We will be pleased to reciprocate this favor in the future. Thank you.
Resident's Name*

First NameLast Name
Resident Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates of Occupancy*
Submitted By:*

First NameLast Name
APPLICANTS AUTHORIZATION OF THIS INQUIRY:

I hereby consent to the release of my residency information.
Signature*

Clear
Date Signed*

Clear
Release of information and Authorization for Verification of Application For Applicant Screening and Processing (ASAP)
Have you ever had an eviction filed against you?*
Have you ever left owing money to an owner or landlord?*
Have you ever applied for residency anywhere in the past 2 years but did not move in?*
Have you ever had adjudication withheld or been convicted of a felony?*
IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS PLEASE EXPLAIN IN DETAIL THE CIRCUMSTANCES REGARDING THE SITUATION ON SEPARATE SHEET.

Applicant(s) represents that all of the above statements and all information on the application for rental are true and complete, and hereby authorizes an investigative consumer report and verification of any and all information relating to residential history (rental or mortgage employment history. criminal history records, court records, and credit records).

Applicant acknowledges that false or omitted information herein may constitute grounds for rejection of this application, termination of occupancy, and/or forfeiture of fees or deposits and may constitute a criminal offense under the laws of this State.

I/We hereby release CCREG, the owner, management company, their employees, owners and agents, and any of the above from any liability and responsibility arising from their doing so.

Facsimiles of this authorization may be used to facilitate multiple inquiries. In the event you receive a facsimile of this authorization, it should be treated as an original and the requested information should be released to facilitate my/our application for residency.

This release is an integral part of the Application for Residency and is incorporated therein.
Applicant Signature*

Clear
Date Signed*

Clear
Social Security Number*
Birthdate*

MonthDayYear
Date

APPLICATION CRITERIA & GENERAL OCCUPANCY STANDARDS

It has been and will continue to be our policy to provide equal housing opportunities for all people, regardless of race, color, religion, sex, national origin, handicap or familial status. Allapplications for residency are reviewed according to the criteria listed below. If the following criteria is not met, applicant could be required to pay additional deposits or denied.
1. RESIDENT/RENTAL HISTORY

Future Residents must present two (2) years verifiable rental/mortgage history (must include addresses and telephone numbers where this information can be verified All addresses on credit report are verified.

2. CREDIT

Future Residents credit must be in good standing. Excessive late payments, collections, judgments, and bankruptcies may subject applicant to denial, additional deposits and or last month's rent.

3.EMPLOYMENT

Future Residents must present two (2) years of consecutive employment. Additionally, the income of the applicants' household must be such that the unit applied for is no larger than 30% of the monthly gross income of the household.

a.Current paycheck stub

b. Copy of last year's tax return

c. Letterhead from your employer stating your income, dates of hire, position, and social security number. The letter must be from Human Resources or an Officer and notarized*

4. FEES AND DEPOSITS

Application Fee: $50.00 per adult that will reside in the unit. Security Deposit: $ (Dependent on verification) Good Faith hold fee $85 per adult that will reside in the unit

5. SPECIALS OR CONCESSIONS

None offered at this time.

6. GOVERNMENT IDENTIFICATION

Future Residents provide government issued picture ID.

7. RESERVES

Future Residents must provide most recent two (2) month's bank statements.

8. RENTER'S INSURANCE

Future Residents must provide declaration page of renter's insurance with $100,000.00 of personal liability coveersage and $1,000.00 of medical coverage.
By signing and submitting this application, I authorize Cross Creek Subsidiaries LLC to process and verify my employment, income and rental history. A copy of my driver's license must be submitted with this application. The processing fee is due within 1 hour of submitting this application. If you would loke the unit held while your application is processed a refundable $85.00 good faith deposit is due within 1 hour of applying. The link for the processing fee and the good faith deposit is included in the email/text message. Expect on average 4-7 days for the screening process.
Applicant Signature*

Clear
Date Signed*

Clear
Office Use Only: Requested Unit

Name or Address or Requested Unit
Should be Empty:

RENTAL APPLICATION FORM

Prior Residence

CURRENT EMPLOYMENT

PREVIOUS EMPLOYMENT

VEHICLE INFORMATION

NOTICE:

REQUEST FOR VERIFICATION OF EMPLOYMENT

APPLICANT'S AUTHORIZATION OF THIS INQUIRY

REQUEST FOR RESIDENCY VERIFICATION

Office Use Only: Requested Unit