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Rental Application
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Applicant Info
Full name
Driver's License
Social Security Number
Birthday
Mobile number
Email address
Desired Residence
Desired Rental Property
Desired Move In Date
Desired Lease Term
1 Year
2 Years
3 Years
4 Years
5 Years
Current Residence
Current Address
Current Address Move In Date
Current Address Move Out Date
Were You Evicted From Your Current Address?
No
Yes
Current Landlord's Name
Current Landlord's Phone
Can We Text This number?
Yes
No
Reason for Leaving
Previous Residence
Previous Address
Previous Address Move In Date
Previous Address Move Out Date
Were You Evicted From Your Previous Address?
No
Yes
Previous Landlord's Name
Previous Landlord's Phone
Employment
Current Employer
Employment Status
Part-Time
Full-Time
Employment Position
Employment Contact Person
Employment Contact Number
Employment Address
How long Have You Been Employed?
How Often Are You Paid?
Weekly
Bi-Monthly
Monthly
Gross Monthly Wages
Other Income
Dependents
Dependent Resident 1
First Name, Last Name, DOB, Relationship
Dependent Resident 2
Dependent Resident 3
Dependent Resident 4
Emergency Contact
Emergency Contact
Emergency Phone
Personal References
Reference 1 Name
Reference 1 Phone
Reference 2 Name
Reference 2 Phone
Credit References
Primary Banking Institution
Type of Bank Account
Checking
Savings
Other
Bank Account Balance
Legal Information
Civil Rights Act Notification
The Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act of 1988, prohibits discrimination in the rental of housing based on race, color, religion, sex, handicap, familial status, or national origin. The Federal Agency, which administers compliance with this law, is the U.S. Dept. of Housing and Urban Development.
I Understand
Have you ever been convicted of or pled guilty or "no contest" to any felony?
yes
no
Have you ever been convicted or pled guilty or "no contest" to any sexual offense?
Yes
No
If yes, please explain, providing the location, nature and date of the offense:
Other Information
Have you ever had a judgement?
yes
no
Do you have any pets?
(Handicapped assistance animals used for disabilities are not considered pets)
yes
no
How did you hear about our properties?
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