Location______Name: ______Email Address: ______

8633 E 46th Street, Indianapolis IN 46226

317-879-5222 PH | 317-879-5553 FX |

rpmindiana.com

Prospective Tenants

Thank you for your interest in a property managed by Renaissance Property Management, Inc. We will need the following information to process your application.

1. Copy of your current State ID or Driver’s License for all applicants over 18

2. Copy ofone-month recent pay stubs or proof of income for all lease holders

3. Copy of your social security card or tax payer ID for you and all applicants

4. Completed and signed application you and for each applicant over the age of 18

5. Payment of application fee to process this application.

One applicant is $40 and two applicants are $70. Each applicant over the age of 18 must complete an application. This fee will cover the cost of processing and initiating a credit check. The amount is non-refundable, should you withdraw your application. If a line is not filled in or the omission is not explained satisfactorily, we will not be able to process your application. Please submit all applications together.

Name: ______Date of Birth: ______

Email Address: ______

Banking Info:___Checking Account ___Savings Account Bank Name: ______

Home Phone______Work Phone______Cell Phone______

SS #: ______Driver’s License #: ______State: ______

Present Address______Zip______

Move In Date______Move Out Date______Rent $______

Includes: Gas Electric Water/Sewer Appliances Furniture

Reason for moving? ______

Owner/Manager______Phone______

Is the above person related to you? ______Relationship______

Present Employer______(Company Name)

Address: ______

Phone______Start Date: ______Title______

Rate of Pay______Monthly take home pay______

Supervisor______Phone______

Best Time to Call

2nd Employer______(Company Name)

Address: ______

Phone______Start Date: ______Title______

Rate of Pay______Monthly take home pay______

Supervisor______Phone______

Best Time to Call

Other sources of income (other than present employment)

______

Do you ____pay or ____receive child support? _____ How much? _____

Do you receive social security? _____ Pension? _____ Food Stamps? _____

Do you receive welfare? _____ Caseworker name and phone: ______

Do you receive Section 8? _____ How much? _____

How many people will be living with you? ______

Names and social security numbers of everyone to occupy this unit:

Name: ______Date of Birth: ______Social Security Number: ______

Name: ______Date of Birth: ______Social Security Number: ______

Name: ______Date of Birth: ______Social Security Number: ______

Have any of the occupants that will be living with you ever been evicted or convicted of a felony, violence, battery, drug, prostitution, gun related or child related offences? If yes, please explain: ______

Vehicles Owned

#1Vehicle Year _____Make _____ Model_____ Color_____ Any Co-owners? ______

VIN # ______License #______State______

Lien holders______

PERSONAL REFERENCE ______

NamePhone

______

AddressCity State Zip

Contact in Case of

Emergency______

Name AddressCity State Zip

Relationship to you______Phone______

Do you, co-applicant or any proposed residents (Please explain, yes answers):

1. Do you have any pets? _____ Height: _____ Weight: _____ Age: _____ Breed: _____

2. Do you smoke? _____ Does anyone who will be living in the house smoke? _____

3. Do you own any real estate? ______

4. Have you ever filed bankruptcy? ______

5. Have you ever not paid rent when it is due? ______

6. Have you ever been evicted from a home or apartment? ______

7. Have you ever been arrested for any sexual felonies or for crimes against children? ______

8. Do you have any outstanding judgments? ______

9. Do you have any felony convictions, drug related convictions, prostitution related convictions, gun or violence relatedconvictions, battery related convictions, crimes against children related convictions or any convictions other than traffic violations? ______

If needed for approval. All guarantors must submit a separate application and must be able to be approved by same guidelines as the tenant approval process. Guarantors must sign application and the lease. They must also be present at move-in.

GUARANTOR______

NamePhone #

______

AddressCity, State, Zip

______

Social Security NumberEmployer

Applicant(s) and Co-signer(s) recognize and authorize Landlord or his/her agent to investigate information regarding character, general reputation, personal character references, mode of living and credit standing, and a full disclosure of pertinent facts may be made to the landlord. The landlord may also require a credit report from a credit-reporting agency and by signing this application the Applicant(s) and Co-signer(s) authorize full disclosure and release all persons from any and all liability full such disclosure. I give my permission for this form to be faxed for verification of the information.

______

Signature of ApplicantDate

______

Signature of ApplicantDate

______

Signature of Guarantor/Co-signorDate

______

Signature of Guarantor/Co-signorDate