Parent/ Student Residential Application
NON-REFUNDABLE APPLICATION FEE IS $40.00 PER APPLICATION
EACH ADULT RESIDENT MUST COMPLETE AN APPLICATION
The undersigned hereby makes application to rent
Address
commencing
-
Month
-
Day
Year
Date
at a monthly rental rate of
Rental Amount
Parent Applicant Information
APPLICANT
Parent Information
Parent Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Date
-
Month
-
Day
Year
Date
Driver's License # / Issuing State
Social Security Number
xxx-xx-xxx
RENTAL HISTORY
Previous 3 years
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Property Manager / Owner
First Name
Last Name
Property Manager / Owner Phone #
-
Area Code
Phone Number
Reason for vacating
Previous Address #1
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Property Manager / Owner
First Name
Last Name
Property Manager/ Owner Phone #
-
Area Code
Phone Number
Reason for vacating
Previous Address #2
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Property Manager / Owner
First Name
Last Name
Property Manager / Owner Phone #
-
Area Code
Phone Number
Reason for vacating
EMPLOYMENT
3 months of the most recent paystubs
Current Employer
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor
First Name
Last Name
Supervisor's Phone Number
-
Area Code
Phone Number
Hire Date
-
Month
-
Day
Year
Date
Position
Monthly Gross Income
Previous Employer
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor
First Name
Last Name
Supervisor's Phone Number
-
Area Code
Phone Number
From
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Position
Monthly Gross Income
OTHER INFORMATION
Please give any other information which may be helpful in evaluating this application. Be certain to include any additional income. Applicant need not disclose alimony, child support or separate maintenance income or its source.
Other Information:
Filed for bankruptcy
Yes
No
Been evicted from tenancy
Yes
No
Willfully or intentionally refused to pay rent when due
Yes
No
Application Agreement
I RECOGNIZE THAT AS PART OF YOUR PROCEDURE FOR PROCESSING, MY APPLICATION, AN INVESTIGATIVE CONSUMER REPORT MAYBE PREPARED WHERE BY INFORMATION IS OBTAINED THROUGH PERSONAL INTERVIEWS WITH MY NEIGHBORS, FRIENDS AND OTHERS WHOM I MAY BE ACQUAINTED. THIS INQUIRY INCLUDES INFORMATION AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS, AND MODE OF LIVING, ALSO I AGREE TO SIGN THE LEASE CURRENTLY IN USE BY HUCKABEE REALTY. PROPERTIES WILL NOT BE HELD UNTIL APPLICATION(S) IS RECEIVED, APPROVED AND SECURITY DEPOSIT IS RECEIVED. THIS APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE OWNER OR OWNER'S AGENT TO EXECUTE LEASE AGREEMENT NOR DELIVER POSSESSION OF PREMISES. ALL INFORMATION PROVIDED WITHIN THIS APPLICATION, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT.
Parent Signature
Date & Time
Student Applicant Information
Student Name
First Name
Last Name
Student Phone Number
-
Area Code
Phone Number
Student Email
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Social Security Number
xxx-xx-xxxx
Driver's Licence # / State
Year, Make & Model
Tag # & State
Rental History
Previous 2 Years
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
Type a question
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
Type a question
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
-
Month
-
Day
Year
Date
Date
-
Month
-
Day
Year
Date
Type a question
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
EMPLOYMENT INFORMATION
3 MONTHS MOST RECENT PAY STUBS
Type a question
Type a question
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
OTHERS TO OCCUPY THE RESIDENCE
Name
First Name
Last Name
Relationship
Sex / Age
Name
First Name
Last Name
Relationship
Sex / Age
Name
First Name
Last Name
Relationship
Sex / Age
Name
First Name
Last Name
Relationship
Sex / Age
Name
First Name
Last Name
Relationship
Sex / Age
Do you have any pets?
Yes
No
If yes, type and weight;
In case of emergency, notify
First Name
Last Name
Relationship
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Have you ever;
Yes
No
Filed for bankruptcy
Been Evicted
Willfully or intentionally refused to pay rent when due?
Student Signature
DateTime
Submit & Pay
Online Payment
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Parent / Student Application Fee
$
40.00
Total
$
0.00
Credit Card
Submit & Pay
Should be Empty: