APARTMENT & HOME ADVISORS
5133 North Shore Drive, Duluth, MN 55804
PHONE: 218-720-3987
FAX: 218-525-1491
(SUBJECT TO OWNER’S APPROVAL)
PLEASE FILL OUT COMPLETELY
Property Address:Last Name / First FULL Name / Marital Status / Date of Birth
Home Phone / Work Phone / Cell Phone / Do You Text Yes No
Must have last 5 years of residence. If more space is needed, please use the back of the page
Present Address / Rent Own / From To / Monthly Rent
City / State ZIP / Apt. # / How long at Present Address?
Present Landlord/Apartment Complex Name / Present Landlord Address / Pres. Landlord City/State/Zip / PL Phone
Former Address (1) / Rent Own / From To / Monthly Rent
City / State ZIP / Apt. # / How long at Former Address?
Former Landlord/Apartment Complex Name / Former Landlord Complete Address / FL Phone
Former Address (2) / Rent Own / From To / Monthly Rent
City / State ZIP / Apt. # / How long at Former Address?
Former Landlord/Apartment Complex Name / Former Landlord Complete Address / FL Phone
Employer / Employer Address / Employer Phone
Position/Title / Gross Monthly Salary / From To
Immediate Supervisor Name and Title / Supervisor’s Phone
Number of Vehicles / Driver License Number / State of Issue
Vehicle(s) Make and Model / License Plate Number (1) / License Plate Number (2)
Additional Income (describe source)
Personal Reference (Name) / Complete Address
Phone Number / Relationship to Applicant
In Emergency Notify (Name of nearest relative) / Complete Address
Phone Number / Relationship to Applicant
HAVE YOU EVER BEEN CHARGED WITH OR CONVICTED OF A FELONY? / Yes No
HAVE YOU EVER BEEN CONVICTED OF A SEXUAL OFFENSE? / Yes No
HAVE YOU EVER BEEN CONVICTED FOR POSESSION, USE OR SALE OF ILLEGAL SUBSTANCES? / Yes No
HAVE YOU EVER BEEN EVICTED OR HAD YOUR LEASE TERMINATED IN LIEU OF AN EVICTION? / Yes No
Do you have any pets______Type(s)______Breed(s)______Weight(s)______
LIST ALL OTHER OCCUPANTS WHO WILL RESIDE IN HOME? (All occupants over 17 must file separate applications)
1 Name:______Age:______
3 Name:______Age:______/ 2 Name:______Age:______
4 Name:______Age:______
Your Email Address
ALL RENTS ARE DUE AND PAYABLE ON THE FIRST DAY OF EACH MONTH IN ADVANCE.
Pursuant to Fair Housing Laws, the management shall neither refuse to rent or lease an apartment to any person because of race, color, creed religion, national origin, ancestry, handicaps, or familial status of the applicant nor discriminate in the terms offered or the services rendered.
The undersigned warrants and represents that all statements herein are true and permits verification. Should it be determined prior to or at any time during the subsequent tenancy that information given was false, Landlord reserves the right to terminate said tenancy immediately. The undersigned agrees to provide documentation necessary to substantiate present or prior earnings which are to be considered as a basis for payment of rent.
The undersigned further agrees to execute upon presentation a lease in usual form on the terms and conditions stated. The lease may be terminated by the Lessor if any statement herein made is not true. The application and deposit are taken subject to previous applications. The management is not responsible for loss by fire, smoke, or water.
I hereby give permission to obtain information on my credit, rental history, criminal history, income verification, and other references as stated above for the purpose of this application.
______
Prospective Resident Signature Date Desired Move in Date
______
Printed Name
PLEASE INCLUDE A COPY OF YOUR DRIVERS LICENSE
(This property will stay on the market until all completed applications and deposit(s) are submitted to Apartment & Home Advisors)