Oakhaven Manor Rental Application

How did you hear about us?*

Unit Size*

Applicant Name*

Applicant Phone Number*

Applicant Address*

Address

Street Address Line 2

City

Applicant State*

Applicant Zip*

List all states you have ever lived in*

Applicant Social Security Number*

Applicant ID or Driver’s License*

State ID/License was issued*

Applicant Email Address*

example@example.com

Do you own or rent your current place of residence?*

OwnRent

Monthly payment or rent*

How long?*

Current Landlord Name*

Current Landlord Phone*

Co-Applicant Information (if more than 2 applicants, use additional application)

Co-Applicant Name

Co-Applicant Phone Number

Co-Applicant Address

Address

Street Address Line 2

City

Co-Applicant State

Co-Applicant Zip

List all States you have ever lived in

Co-Applicant Social Security Number

Co-Applicant ID or Driver’s License

State ID/License was issued

Co-Applicant Email Address

example@example.com

Do you own or rent your current place of residence?

OwnRent

Monthly payment or rent

How long?

Current Landlord Name

Current Landlord Phone

Current employer or source of income

Employer address

How long?

Phone

E-mail

example@example.com

Fax

City

State

ZIP Code

Position

Please check one

HourlySalarly

Annual income

Current employer or source of income

Employer address

How long?

Phone

E-mail

example@example.com

Fax

City

State

ZIP Code

Position

(Please check one)

HourlySalarly

Annual income

Name*

Address*

Phone*

Name*

Address*

Phone*

Checking Account Bank Name & Account #*

Savings Account Bank Name & Account #*

Occupant #1*

Occupant #2

Occupant #3

List all occupant information including applicant

	Date of Birth	Relationship to applicant	Employment Wages (gross)	Unemployment Compensations	Disability Payments	ADC	Interest & other Income	Total
Occ.1
Occ.2
Occ.3

Indicate any other source of income not listed above

Have you or co-applicant:*

	Yes	No
Ever been evicted?
Ever been convicted of a misdemeanor?
Ever been convicted of a felony?
Ever had a judgement filed against you?
Ever declared bankruptcy?
Ever had an account assigned to a collection agency?
Ever been subject to a lifetime sex offender registration program in any state?

If bankruptcy was declared, when was it done?

If applicable, list all states where you or co-applicant were part of a lifetime sex offender registration program:

I (we) understand that the filing of this application does not in any way bind The Associated Management Company to reserve a unit for me. I (we) understand that all applications are carefully screened for credit and residence history as outlined in our Resident Selection Criteria and/or Tenant Selection Plan understand that the information on this application will be used to secure criminal conviction and credit history as part of the screening process. I (we) understand and agree that untrue or fraudulent statements made on this application may result in rejection or termination of any lease entered into with the community indicated below and loss of any housing assistance and eviction from the apartment.

Signature of Applicant*

Date*

Date

Signature of Co-Applicant

Date

Oakhaven Manor Rental Application

Applicant Information

Applicant Employment Information

Co-Applicant Employment Information

Personal Reference #1

Personal Reference #2

Bank Information

List all occupants including applicant