$10 Application Fee Is Not Refundable

$10 application fee is not refundable.

Today’s Date

Type of rental? HOUSE OR APARTMENTAmount of rent? Section 8? YES OR NO

How many total people will live in the dwelling? ______How many bedrooms?

Any Pets? Kind? How many?Size?

Rental Location (If known)_

Applicant #1 Full legal Name, include any previous names

SS#Birth date:

Phone #Email

Drivers License # Vehicle Make & ModelPlate #

EmployerPhoneTotal Net Monthly Income $

How long at job?Previous employer How long?

Nearest Relative or Emergency Name Number:

Name Two Personal (non-related) Reference with Phone Numbers:

Present Address, city & state:

Landlord name & phone #

When did you move in? ______Have you given notification of your move? YES OR NO

How much is your present rent? ______Why do you want to move?______

Previous address Landlord name & phone #

Are You Now, or Have You Ever Been Evicted? Any Criminal Record?

PleaseExplain

Applicant #2 Full legal Name, include any previous names

SS#Birth date:

Phone #Email

Drivers License # Vehicle Make & ModelPlate #

EmployerPhoneTotal Net Monthly Income $

How long at job?Previous employer How long?

Nearest Relative or Emergency Name Number:

Name Two Personal (non-related) Reference with Phone Numbers:

Present Address, city & state:

Landlord name & phone #

When did you move in? ______Have you given notification of your move? YES OR NO

How much is your present rent? ______Why do you want to move?______

Previous address Landlord name & phone #

Are You Now, or Have You Ever Been Evicted? Any Criminal Record?

PleaseExplain

Please note;Even if your application is approved you may not qualify for advertised specials.Properties are not held because you did an application. Properties are only held with full deposit down and you will only have 7 days to finish paying balance and complete lease or you will lose the deposit. Any monies put down to hold a property are NONREFUNDABLE & must be paid with a money order or Cashier’s Check- NO PERSONAL CHECKS FOR MOVE IN

Applicant SignatureDateCo-Applicant Signature

With My Signature(s), I authorize the verification of the information provided on this form as to my credit, criminal, rental, and employment history.

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