Please Fill out This Form COMPLETELY and Sign Where Indicated
PS2 MANAGEMENT RENTAL APPLICATION
Every occupant over the age of 18 MUST fill out a separate application (even if married).
Please fill out this form COMPLETELY and sign where indicated.
PERSONAL INFORMATION
FIRST NAME
DATE OF BIRTH
PHONE
MIDDLE
MARITAL STATUS
LAST
S.S.#
-
/
/
❏ MARRIED Since ______
_ _
❏ DIVORCED Since ______
-
_
_
❏ SINGLE
PHONE
❏ CELL
❏ HOME
PRESENT HOME ADDRESS
LENGTH OF TIME
REASON FOR LEAVING
EXT.
CITY/STATE/ZIP
DRIVERS LICENSE #
STATE
❏ HOME
❏ WORK
PRESENT LANDLORD
LANDLORD PHONE
_
AMOUNT OF RENT
Is your present rent up to date?
PREVIOUS HOME ADDRESS
LENGTH OF TIME
REASON FOR LEAVING
CITY/STATE/ZIP
PREVIOUS LANDLORD
AMOUNT OF RENT
LANDLORD PHONE
Was your rent up to date?
_
NEXT PREVIOUS HOME ADDRESS
LENGTH OF TIME
REASON FOR LEAVING
CITY/STATE/ZIP
NEXT PREVIOUS LANDLORD
AMOUNT OF RENT
LANDLORD PHONE
Was your rent up to date?
_
_
❏ YES
_
❏ YES
_
❏ YES
❏ NO
❏ NO
❏ NO
PROPOSED OCCUPANT(S)
NAME
NAME
NAME
NAME
NAME
RELATIONSHIP
RELATIONSHIP
RELATIONSHIP
RELATIONSHIP
RELATIONSHIP
OCCUPATION
OCCUPATION
OCCUPATION
OCCUPATION
OCCUPATION
AGE
AGE
AGE
AGE
AGE
PROPOSED PET(S)
NAME
NAME
NAME
TYPE/BREED
TYPE/BREED
TYPE/BREED
❏ INDOOR
❏ INDOOR
❏ INDOOR
❏ OUTDOOR
❏ OUTDOOR
❏ OUTDOOR
AGE
AGE
AGE
VEHICLE(S) INFORMATION
YEAR
YEAR
MAKE
MAKE
MODEL
MODEL
COLOR
COLOR
PLATE #
PLATE #
STATE
STATE
EMPLOYMENT
CURRENT EMPLOYER
SUPERVISOR
ADDRESS
OCCUPATION
PHONE
CITY/STATE/ZIP
_
_
EXT:
HOURS/WEEK
YEARS EMPLOYED
CURRENT EMPLOYER
SUPERVISOR
ADDRESS
OCCUPATION
PHONE
CITY/STATE/ZIP
_
_
EXT:
HOURS/WEEK
YEARS EMPLOYED
INCOME
CURRENT
INCOME
CURRENT
INCOME
CURRENT
INCOME
$______❏ WEEKLY ❏ BIWEEKLY
$______❏ WEEKLY ❏ BIWEEKLY
$______❏ WEEKLY ❏ BIWEEKLY
❏ MONTHLY ❏ YEARLY
❏ MONTHLY ❏ YEARLY
❏ MONTHLY ❏ YEARLY
SOURCE
SOURCE
SOURCE
PROOF OF INCOME
PROOF OF INCOME
PROOF OF INCOME
❏ YES
❏ YES
❏ YES
© 2008 ezLandlordForms
❏ NO
❏ NO
❏ NO
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RENTAL APPLICATION
Every occupant over the age of 18 MUST fill out a separate application (even if married).
Please fill out this form COMPLETELY and sign where indicated.
CREDIT CARD / FINANCIAL INFORMATION
CAR LOAN
LIEN HOLDER
CREDIT CARD
COMPANY
CREDIT CARD
COMPANY
CREDIT CARD
COMPANY
CHILD SUPPORT/
OTHER CREDIT OWED
BANK ACCOUNT
NAME OF BANK
BALANCE
OWED
BALANCE
OWED
BALANCE
OWED
BALANCE
OWED
BALANCE
OWED
BALANCE
MONTHLY
PAYMENT
MONTHLY
PAYMENT
MONTHLY
PAYMENT
MONTHLY
PAYMENT
MONTHLY
PAYMENT
MONTHLY
PAYMENT
CREDITOR'S
PHONE #
CREDITOR'S
PHONE #
CREDITOR'S
PHONE #
CREDITOR'S
PHONE #
CREDITOR'S
PHONE #
ACCOUNT
NUMBER
-
-
-
-
-
-
-
-
-
-
EMERGENCY / PERSONAL REFERENCE INFORMATION
EMERGENCY CONTACT
RELATION
EMERGENCY CONTACT
RELATION
PHONE
ADDRESS
PHONE
ADDRESS
_
_
❏ CELL
❏ HOME
_
_
❏ CELL
❏ HOME
PHONE
CITY/STATE/ZIP
PHONE
CITY/STATE/ZIP
_
_
❏ HOME
❏ WORK
_
_
❏ HOME
❏ WORK
PERSONAL REFERENCE
RELATION
PHONE
ADDRESS
_
_
❏ CELL
❏ HOME
PHONE
CITY/STATE/ZIP
_
_
❏ HOME
❏ WORK
PERSONAL REFERENCE
RELATION
PHONE
ADDRESS
_
_
❏ CELL
❏ HOME
PHONE
CITY/STATE/ZIP
_
_
❏ HOME
❏ WORK
APPLICANT QUESTIONNAIRE / AUTHORIZATION
Has applicant ever been sued for bills?
Has applicant ever been bankrupt?
Has applicant ever been guilty of a felony?
Has applicant ever broken a Lease?
❏ YES
❏ YES
❏ YES
❏ YES
❏ NO
❏ NO
❏ NO
❏ NO
Has applicant ever been locked out of their apartment by the sheriff?
Has applicant ever been brought to court by another landlord?
Has applicant ever moved owing rent or damaged an apartment?
Is the total move-in amount available now (rent and deposit)?
❏ YES
❏ YES
❏ YES
❏ YES
❏ NO
❏ NO
❏ NO
❏ NO
Applicant authorizes the landlord to contact past and present landlords, employers, creditors, credit bureaus, neighbors and any other sources deemed necessary to investigate applicant.
All information is true, accurate and complete to the best of applicant's knowledge. Landlord reserves the right to disqualify tenant if information is not as represented.
ANY PERSON OR FIRM IS AUTHORIZED TO RELEASE INFORMATION ABOUT THE UNDERSIGNED UPON PRESENTATION OF THIS FORM OR A PHOTOCOPY OF THIS FORM AT ANY TIME.
X ______
APPLICANT SIGNATURE
______
DATE
If you have any questions about the interpretation or legality of this form, please consult an attorney or other qualified person.
NOTES:
© 2008 ezLandlordForms
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