RESIDENTIAL LEASE APPLICATION -Final

Each occupant and co-applicant 18 years or older must submit a separate application.

Click HERE for Application Criterea

Received on Date

Date

Property Address Applying To

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Anticipated: Move-in Date

Date

Applicant is strongly encouraged to view the Property in-person prior to submitting

Any application. Landlord makes no express or implied warranties as to the Property’s condition. Applicant requests Landlord consider the following repairs or treatments should Applicant and Landlord enter into a lease:

Applicant’s name

First NameMiddle NameLast Name

YesNo

If yes, co-applicant must submit a separate application.

Applicant’s former last name (maiden or married)

E-mail

example@example.com

Home Phone

Please enter a valid phone number.

Work Phone

Please enter a valid phone number.

Mobile

Please enter a valid phone number.

Driver License No. (state)

Date of Birth

Date

Upload Pic of Drivers License or Govt ID*

Emergency Contact: (Do not insert the name of an occupant or co-applicant.)

Name and Relationship

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

Name all other persons who will occupy the Property

Rows	Name	Relationship	Age
1
2
3
4

Applicant’s Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Apt. No.

Landlord or Property Manager’s Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Date Moved-In

Date

Move-Out Date

Date

Rent

Reason for move

Applicant’s Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Apt. No.

Landlord or Property Manager’s Name

Phone

Please enter a valid phone number.

Date Moved-In

Date

Move-Out Date

Date

Rent

Reason for move

Applicant’s Current Employer

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employment Verification Contact

Phone

Please enter a valid phone number.

Fax

E-mail

example@example.com

Start Date

Date

Gross Monthly Income

Position

Upload 3 paystubs

Note: If Applicant is self-employed, Landlord may require further verification.

Applicant’s Previous Employer (Last 3 years)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Employment Verification Contact

Phone

Please enter a valid phone number.

Fax

E-mail

example@example.com

Start Date

Date

Gross Monthly Income

Position

Note: Applicant is responsible for including the appropriate contact information for employment verification purposes.

Describe other income Applicant wants considered

List all vehicles to be parked on the Property

Rows	1
Type
Year
Make Model
License Plate No./State
Mo. Payment

YesNo

List all animals to be kept on the Property

Rows	Type & Breed	Name	Color	Weight	Age in Yrs.	Gender	Neutered?	Bite History?	Shots Current?	Service or Emotional Support Animal?
1

If any of the animals listed above are assistance animals, please provide appropriate documentation with a reasonable accommodation request for the assistance animal(s).

YesNo

If you answered yes to any of above questions, please provide details.

YesNo

Provide more information below.

YesNo

Additional comments

Authorization: Applicant authorizes Landlord and Landlord’s agent, at any time before, during, or after any tenancy, 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 with persons knowledgeable of such information.

Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Fees: Applicant submits a non-refundable fee of to (entity or individual) for
processing and reviewing this application. Applicant submits will not submit an application deposit to be applied to the security deposit upon execution of a lease or returned to Applicant if a lease is not executed.

Acknowledgement & Representation:
(1) Signing this application indicates that Applicant has had the opportunity to review Landlord’s tenant selection criteria, which has been provided via link at the top of this application. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
(2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
(3) Applicant represents that the statements in this application are true and complete.
(4) Applicant is responsible for any costs associated with obtaining information.

(5) Lease may include $25 montlhy alarm fee and pet fee(s) may apply.

Applicant’s Signature