RESIDENTIAL APPLICATION
PLEASE NOTE… Today’s Date ______
- Social Security Number is required for purposes of a mandatory credit and background checks.
- All persons over the age of 18 must file separate applications.
Please list all of the people that will be living in the residence:
(Please list names and relationships)
______
How did you hear about us?______
PERSONAL INFORMATION
Full Name: ______Cell Phone #: ______
SS#: ______DOB: ______
Email Address: ______
Address: ______Apt. # ______
City: ______State: ______Zip: ______
RESIDENT HISTORY
(Please list starting with most recent)
Address #1
Current or Most Recent Landlord Name:______
(Or name of apartment complex if applicable)
Phone #: ______Fax #: ______Move-in Date: ______Move-out Date: ______
Your Address: ______Apt. # ______
City: ______State: _____ Zip: ______
Reason for Moving:______
Address #2
Landlord Name:______
(Or name of apartment complex if applicable)
Phone #: ______Fax #: ______Move-in Date: ______Move-out Date: ______
Your Address: ______Apt. # ____
City: ______State: ______Zip: ______
Reason for Moving:______
EMPLOYMENT STATUS
(Please indicate your current employment status with an “X” for all that apply)
Employed Full Time: _____ Employed Part Time: _____ Unemployed: _____ Student Full Time: _____ Student Part Time: _____
EMPLOYMENT HISTORY
(Please list starting with most recent)
Current or Most Recent Employer Name: ______
How long have you worked for this employer? ___ years___ months - Start Date: ____Finish Date: ______
Employer Address: ______Ph #: ______Fax #: ______
City: ______State: ______Zip: ______
Supervisor Name: ______Position: ______Ph #: ______
Your Position/Title: ______Salary/Wage: ______
Reason for Leaving (if applicable): ______
ALTERNATE MEANS OF INCOME
Miscellaneous Income
Please briefly describe below any alternate sources of income you would like us to consider. Verification may be necessary.
______
Government Assistance
Do you or have you received government assistance? ______How much per month? ______
If so, what is your case worker’s name? ______Phone #?______
BANKING INFORMATION
Bank Name: ______Branch: ______Account Type: ______
Bank Address: ______Phone #: ______
City: ______State: ______Zip: ______
DRIVER INFORMATION
Driver’s License Number: ______State: ______
Vehicle #1
Vehicle Make: ______Vehicle Model: ______
Year: ______License Plate #: ______State: ______
Vehicle #2
Vehicle Make: ______Vehicle Model: ______
Year: ______License Plate #: ______State: ______
BACKGROUND INFORMATION
•Have you ever filed for bankruptcy? Y / N
•Have you ever been convicted of a felony? Y / N
•Have you ever been evicted from a property? Y / N
•Have you ever been delinquent or late in rent payments? Y / N
•Have you ever had any claims against you? Y / N
•If you answered yes to any of these questions, please explain…
______
PET INFORMATION
(Please refer to the Pet Policy Form for specific information and regulations)
Do you currently own a pet? There are no pets permitted in our properties unless preapproved by our office. Please fill out the Pet Authorization Form and contact our office for more information.
EMERGENCY NOTIFICATION INFORMATION
Emergency Contact Name: ______Relationship: ______Ph #:
Email Address: ______Emergency Contact Address: ______
City: ______State: ______Zip: ______
AKNOWLEDGMENT OF UNDERSTANDING
I hereby state that the information provided above herein this application is accurate and complete. I have read and understand the application in its entirety. I give the recipient of this application permission to gather and receive information on my previous residences. I also give the recipient permission to make inquires and gather information regarding my past credit and criminal history. The authorization of the holder of this document to gather and receive information regarding my past credit and criminal history, that I believe the information provided herein to be accurate and complete, and that the application fee is nonrefundable is evident and acknowledged by my signature on this document.
Applicant’s Signature: ______Date: ______
APOLLO ASSET MANAGEMENT • 810 W. CLINCH AVE., 7TH FLOOR • KNOXVILLE, TN, 37919
P. (865)971-4680 • F. (865)546-1236