JULOR Investments, LLC
Rental Application
From To
Amount Due Prior to Occupancy
First Month Rent:
Security Deposit:
Non-Refundable Pet deposit
Other
Total
Applicant
Full Name-include all names you have used
Home Phone Work Phone
Cell Phone Emergency Contact name and phone
Social Security NumberBirth Date
Drivers License Number
Vehicle Make ModelColorYear
License plate number and State
Additional Occupants (list everyone and include type and name of pets)
Full Name Date of BirthRelationship to Applicant
Rental History
Current Address and rent payment
Dates lived at address: Reason for leaving:
Landlord/manager name and phone number:
Have you made late rent payments at this address: How many:
Previous Address and rent payment (if lived at current less than3 years):
Have you made late rent payments at this address: How many:
Dates lived at address: Reason for leaving:
Landlord/manager name and phone number:
Previous Address and rent payment (if lived at previous less than 3 years:
Have you made late rent payments at this address: How many:
Dates lived at address: Reason for leaving:
Landlord/manager name and phone number:
Employment History
Name of Current Employer:
Start Date: Phone Number:
Owner/Supervisor name and phone number:
Name of Previous Employer (if current is less than 3 years):
Start and end dates: Phone Number:
Owner/Supervisor name and phone number:
Name of Previous Employer (if current is less than 3 years):
Start and end dates: Phone Number:
Owner/Supervisor name and phone number:
Income:
Your hourly rate and amount of hours you work per week:
Your monthly take home pay (attach one month of pay stubs)
List monthly source and other income if any:
Total monthly take home pay and other income:
Credit and Financial Information:
Have you ever filed bankruptcy if yes when:
Have you ever been evicted from a rental unit if yes when:
Are you currently being evicted or foreclosed on?
Explain any yes answerers above:
Bank/Financial Accounts and TypeAccount Number
Checking
Savings
Other
Credit Accounts and Loans
Credit cards name and monthly payment:
Car loans, student loans or other loans and payments:
Other monthly obligations:
List other monthly payments you make (like cell phone, child support and any other):
Miscellaneous information:
Do you smoke?
Have you ever been convicted of a crime:(if yes describe offense and when it occurred)
References and Emergency Contact:
Personal ReferenceRelationship:
Address and Phone number:
Personal ReferenceRelationship:
Address and Phone number:
Emergency ContactRelationship:
Address and Phone number:
I certify that all the information given above is true and correct and understand that my lease or rental agreement bay be terminated if I have make any material false or incomplete statements in this application. I authorize JULOR Investments, LLC to verify the information provided in this application from my credit sources, credit bureaus, current and previous landlords, employees and personal references. I agree that JULOR Investments is authorized to pull a credit report and do a criminal background check on me. This permission will survive the expiration of my tenancy.
Applicant signatureDate
Notes/Comments:
Page 1 of 3JULOR Investments, LLC Rental Application