Date Application to Lease Approved

DATE APPLICATION TO LEASE APPROVED

STARTING: / LENGTH OF LEASE: / PROPERTY:
ADDRESS:
APPLICATION FEE:$50.00 / DEPOSIT: / RENT: / PET FEE:
NAME: / AGE: / BIRTHDATE:
SOCIAL SECURITY: / DRIVERS LICENSE:
AUTOMOBILE: / TAG # / STATE:
ADDRESS: / HOW LONG:
CITY:STATE & ZIP CODE: / TELEPHONE:
LANDLORD: / TELEPHONE:
EMPLOYER: / SUPERVISOR:
SALARY: / POSITION:
ADDRESS: / HOW LONG:
CITY:STATE & ZIP CODE: / TELEPHONE:
SPOUSE: / AGE: / BIRTHDATE:
SOCIAL SECURITY: / DRIVERS LICENSE:
AUTOMOBILE: / TAG # / STATE:
EMPLOYER: / SUPERVISOR:
SALARY: / POSITION:
ADDRESS: / HOW LONG:
CITY:STATE: / TELEPHONE:
PET: / TYPE: / AGE:
PET: / TYPE: / AGE:
IN CASE OF EMERGENCY NOTIFY THE FOLLOWING: (PERSONS NOT LIVING WITH YOU)
NAME: / RELATIONSHIP:
ADDRESS: / HOME PHONE:
CITY:STATE: / WORK PHONE:
NAME: / RELATIONSHIP:
ADDRESS: / HOME PHONE:
CITY:STATE: / WORK PHONE:
LIST THE NAMES OF ALL OTHER PERSONS WHO WILL OCCUPY THE RESIDENCE:
NAME: / AGE: / BIRTHDATE:
SOCIAL SECURITY: / RELATIONSHIP:
NAME: / AGE: / BIRTHDATE:
SOCIAL SECURITY: / RELATIONSHIP:
NAME: / AGE: / BIRTHDATE:
SOCIAL SECURITY: / RELATIONSHIP:
NAME: / AGE: / BIRTHDATE:
SOCIAL SECURITY: / RELATIONSHIP:

Have you ever filed bankruptcy? , been evicted? ,refused to pay rent?

Allthe above information is true and accurate. Any misstatement made is grounds for Agent to void my lease agreement. I authorize Agent to verify this information, to check references, and to obtain a credit report as necessary to approve my application.

I have made a deposit to 100% Management, Inc. of $ with this application and agree that if I am rejected as a tenant my deposit will be refunded as soon as the check clears the bank, at no time will application fee be refunded. If I am approved I will execute a lease with 100% Management, Inc. or forfeit my deposit. I understand that Agent works for and represents the interests of the Property Owner.

SIGNATURE SPOUSE