Rental Application

Property Address*

Desired Date of Occupancy*

MonthDayYear

Desired Date of Departure*

MonthDayYear

Do you have Pets?*

YesNo

IF Yes, Please list the type, age and weight

Do you or Anyone in your Party Smoke?*

YesNo

Applicant Full Name*

Applicant Date of Birth*

MonthDayYear

Applicant Social Security*

Applicant Phone Number

Applicant Email Address*

Co-Applicant Full Name

Co-Applicant Date of Birth

MonthDayYear

Co-Applicant Social Security

Co-Applicant Phone Number

Co-Applicant Email Address

NAMES AND AGES OF OTHER RESIDENTS IN YOUR PARTY:

Employers Name*

Employers Address*

Supervisor*

Telephone*

Position Held*

How Long?

Unit of Length

YearsMonths

APPLICANT GROSS MONTHLY INCOME*

Employers Name

Employers Address

Supervisor

Telephone

Position Held

How Long?

Unit of Length

YearsMonths

CO-APPLICANT GROSS MONTHLY INCOME

PRESENT STREET ADDRESS*

City*

State*

Zip*

LENGTH OF TIME AT ADDRESS

Unit of Length

YearsMonths

Do You Own the Property?

YesNo

LANDLORD'S NAME

Telephone #

MONTHLY RENT

REASON FOR MOVING

PRESENT STREET ADDRESS

City

State

Zip

LENGTH OF TIME AT ADDRESS

Unit of Length

YearsMonths

Do You Own the Property?

YesNo

LANDLORD'S NAME

Telephone #

MONTHLY RENT

REASON FOR MOVING

APPLICANT PERSONAL REFERENCE (NON-FAMILY)*

TELEPHONE*

ADDRESS*

RELATIONSHIP*

CO-APPLICANT PERSONAL REFERENCE (NON-FAMILY)

TELEPHONE

ADDRESS

RELATIONSHIP

APPLICANTS DRIVERS LICENSE #

CO-APPLICANTS DRIVERS LICENSE #

TOTAL NUMBER OF AUTOMOBILES

MAKE

YEAR

COLOR

PLATE#

STATE

MAKE

YEAR

COLOR

PLATE#

STATE

HAVE APPLICANT OR CO-APPLICANT EVER FILED FOR BANKRUPTCY?*

YesNo

HAVE APPLICANT OR CO-APPLICANT EVER BEEN EVICTED FROM ANY TENANCY OR HAD AN EVICTION NOTICE SERVED ON YOU?*

YesNo

HAVE APPLICANT OR CO-APPLICANT EVER WILLFULLY REFUSED TO PAY RENT DUE?*

YesNo

HAVE APPLICANT OR CO-APPLICANT EVER BEEN ARRESTED OR CONVICTED OF A CRIME?*

YesNo

IF YES PLEASE EXPLAIN:

MY COMMANDING OFFICER IS: TITLE

AND TELEPHONE

MY RANK AND UNIT ARE:

I/WE HEREBY MAKE APPLICATION FOR AN APARTMENT AND HEREBY AUTHORIZE CHRIS KELLEY OR ANY AGENT OF CHRIS KELLEY TO CONTACT ANY PRIOR EMPLOYERS, LANDLORDS, COMPANIES, CREDIT BUREAUS, AND/OR LAW ENFORCEMENT AGENCIES FOR THE PURPOSE OF VERIFYING, RECORDING, AND/OR CONFIRMING THE ABOVE INFORMATION WHICH I HEREIN STATE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

APPLICANT'S FULL NAME*

SOCIAL SECURITY #*

CO-APPLICANT'S FULL NAME

SOCIAL SECURITY #

BY ENTERING YOUR FULL NAME (INCLUDING MIDDLE NAME IF APPLICABLE) AND YOUR SOCIAL SECURITY NUMBER
IN THE FIELDS ABOVE, YOU AGREE TO ALL TERMS AND CONDITIONS, WRITTEN OR IMPLIED.

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Rental Application

Personal Information

Applicant Employment History

Co-Applicant Employment History

APPLICANT RESIDENCE HISTORY

CO-APPLICANT RESIDENCE HISTORY

APPLICANT REFERENCES

CO-APPLICANT REFERENCES

OTHER INFORMATION

Vehicle 1

Vehicle 2

MILITARY PERSONNEL ONLY