Lease Application Form
Please answer the lease application questions below:
Date
-
Month
-
Day
Year
Date
Property Address:
Anticipated Move-in Date:
-
Month
-
Day
Year
Date
Monthly Rent
Security Deposit
Which advertisement or website brought you to us?
Or was it a Realtor? And what is their Name and Phone?
What is YOUR Name?
First Name
Last Name
Is there a co-applicant?
yes
no
Applicant's former last name
Applicant's email address
example@example.com
Applicant's mobile phone number
Please enter a valid phone number.
Applicant's Work Phone Number
Please enter a valid phone number.
Applicant's Driver License Number (and State it is issued from)
Applicants Social Security Number
Applicant Marital Status (Unmarried, Married, Separated)
Please Select
Unmarried
Married
Separated
Applicant Citizenship
Applicant Date of Birth (mm/dd/yy)
Applicant Height, Weight, Hair Color, Eye Color
Name all other persons who will occupy the property: person 1
Name all other persons who will occupy the property: person 2
Name all other persons who will occupy the property: person 3
Emergency Contact: Name
Emergency Contact: Address
Emergency Contact: Phone
Emergency Contact: E-mail
Applicants Current Address, Apt Number
Current Landlords Name
Current Landlords Email
Current Landlords Mobile Phone Number
Current Landlords Work Phone Number
What Is The Date You Moved In?
What Is Your Move Out Date?
How Much Is Your Rent At Your Current Address?
What Is The Reason for Your Move?
Applicants Previous Address, Apt Number
Previous Landlords Name
Previous Landlords Email
Previous Landlords Mobile
Previous Landlords Work Phone Number
Previous Address: Move In Date
Previous Address: Move Out Date
Previous Address: Rent $
Reason for Moving Out Of Previous Place?
Current Employer: Company Name
Current Supervisors Name
Current Employers Address
Current Supervisors Mobile Phone
Date You Started Working There?
Gross Income Per Month
What Id Your Current Position?
Current Supervisors Email
Previous Employer: Company Name
Previous Employer: Address
Previous Supervisors Name
Previous Supervisors Phone Number
Previous Supervisors Email
Previous Employer: Start Date
Previous Employer: End Date
Previous Employer: Gross Income Per Month
Previous Employer: Position
Describe other income Applicant wants considered:
Personal/Professional Reference #1: Name, Phone, How do they know you?
Personal/Professional Reference #2: Name, Phone, How do they know you?
Personal/Professional Reference #3: Name, Phone, How do they know you?
Vehicle 1 To Be Parked On Property: Color, Year, Make, Model, License/State, Monthly Payment
Vehicle 2 To Be Parked On Property: Color, Year, Make, Model, License/State, Monthly Payment
Vehicle 3 To Be Parked On Property: Color, Year, Make, Model, License/State, Monthly Payment
Animal 1 To Be Kept On Property: Type & Breed, Name, Color, Weight, Age, Gender
Animal 1 Neutered?
yes
no
Animal 1 Declawed?
yes
no
Animal 1 Rabies Shots Current?
yes
no
Animal 2 To Be Kept On Property: Type & Breed, Name, Color, Weight, Age, Gender
Animal 2 Neutered?
yes
no
Animal 2 Declawed?
yes
no
Animal 2 Rabies Shots Current?
yes
no
Does Anyone Who Will Occupy The Property Smoke?
yes
no
Will The Applicant Maintain Renters Insurance?
yes
no
Applicant or Spouse in Military?
yes
no
Military orders of one year or less?
yes
no
Has The Applicant Ever Been Evicted?
yes
no
Has The Applicant Ever Been Asked To Move Out?
yes
no
Has The Applicant Ever Breached A Lease/Rental Agreement?
yes
no
Has The Applicant Ever Filed For Bankruptcy?
yes
no
Has The Applicant Ever Lost A Property In A Foreclosure?
yes
no
Has The Applicant Ever Had Any Credit Problems, Slow Pays, or Delenquincies?
yes
no
Has The Applicant Ever Been Convicted Of A Crime?
yes
no
Is Any Applicant A Registered Sex Offender?
yes
no
Are There Any Criminal Matters Pending Against Any Occupant?
yes
no
Is There Additional Information Applicant Wants Considered?
yes
no
Explanation:
Upload Photo Of Your ID (Driver's License, State ID, Passport, etc)
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Upload Photo Or PDF Of Your Credit Report
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Authorization: Applicant authorizes Landlord and Landlord’s agent, at any time before, during, or after anytenancy, to:(1) obtain a copy of Applicant’s credit report;(2) obtain a criminal background check related to Applicant and any occupant; and(3) verify any rental or employment history or verify any other information related to this application withpersons knowledgeable of such information.Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and Applicant enter into aseparate written agreement otherwise, the Property remains on the market until a lease is signed by all partiesand Landlord may continue to show the Property to other prospective tenants and accept another offer.Residential Lease Application concerningPrivacy Policy: Landlord’s agent or property manager maintains a privacy policy that is available uponrequest.Fees: Applicant submits a non-refundable fee of $ for processing and reviewing this application.Acknowledgement & Representation:(1) Signing this application indicates that Applicant has had the opportunity to review Landlord’s tenantselection criteria, which is available upon request. The tenant selection criteria may include factorssuch as criminal history, credit history, current income and rental history.(2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection ofthis application and forfeiture of any application fee and may be grounds to declare Applicant in breachof any lease the Applicant may sign.(3) Applicant represents that the statements in this application are true and complete. I give my permission:(1) to my current and former employers to release any information about my employment history andincome history to the above-named person;(2) to my current and former landlords to release any information about my rental history to the abovenamedperson;(3) to my current and former mortgage lenders on property that I own or have owned to release anyinformation about my mortgage payment history to the above-named person;(4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit tothe above-named person; and(5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumerreporting agency and to obtain background information about me.
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