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Lease Application Property Address:____________________________________________________________ __ Estimated Occupancy Date: ______________________________________________________ Personal Information: Name of Applicant:______________________________________________________________ Telephone #:_____________________________ Cell #:________________________________ Date of Birth:___________________________________________________________________ Social Security #_________________________Drivers License #:_________________________ Marital Status: Married________ Single________ Divorced________ Separated____________ Other Occupants: ALL ADULT OCCUPANTS ARE REQUIRED TO BE ON LEASE AGREEMENT (18+ years) Dependants Name________________________ Age_________________________________ ________________________Age__________________________________ ________________________Age__________________________________ ________________________Age__________________________________ Current Address:________________________________________________________________ City:___________________State:_______________Zip:________________ Landlord:______________________________________________________ Landlord’s Phone:_______________________________________________ Landlord’s Address:_____________________________________________ Lived here from:_________________to______________________________ Monthly Rent:___________________________________________________ Why are you moving? _____________________________________________ Past Address:___________________________________________________________________ City:__________________________________________________________ Landlord:______________________________________________________ Landlord’s Phone:_______________________________________________ Landlord’s Address:______________________________________________ Lived here from:_________________to______________________________ Monthly Rent:___________________________________________________ Employment History: Company Name:________________________________Phone:____________________________ Address:______________________________________Employed from______to:______________ Salary:________________________________________Position:___________________________ Supervisor Name:_______________________________Phone:_____________Ext:____________ Employment History: Company Name:________________________________Phone:_____________________________ Address:______________________________________Employed from______to:______________ Salary:________________________________________Position:___________________________ Supervisor Name:_______________________________Phone:_____________Ext:_____________ Co-Applicants Employment Company Name:________________________________Phone:_____________________________ Address:_______________________________________Employed from:______to:_____________ Salary:________________________________________Position :___________________________ Supervisor Name:________________________________Phone:_____________Ext:____________ Co-Applicant’s Employment History Continued: Company Name:________________________________________________________________________ Address:_______________________________________Employed from:______to:__________________ Salary:________________________________________ Position :_______________________________ Supervisor Name:________________________________Phone:_____________Ext:_________________ Bank References: Name of Bank:__________________________________Branch:_________________________________ Checking Account #:_____________________________Savings Account #:________________________ Credit References: Name:_______________________________Acct #_________________________Tel #_______________ Name:_______________________________Acct #_________________________Tel #_______________ Name:_______________________________Acct #_________________________Tel #_______________ Vehicles: Year:__________Make:__________ Model:_________Color:________Plate:__________State_________ Year:__________Make:__________ Model:_________Color:________Plate:__________State_________ Tenant warrants all vehicles are licensed and operate. This property shall not be used for RV or boat storage. Landlord permits 2 vehicles per property. Variances can be made per written request. Has Applicant or Spouse or any other proposed Occupant: Filed for Bankruptcy? Yes__________ No_______________ Been Evicted? Yes__________ No_______________ Willfully or intentionally refused to pay rent? Yes__________ No_______________ Had a criminal record? Yes__________ No_______________ Been arrested for drug usage or trafficking? Yes__________ No_______________ Explain: Pets: Yes___________No__________#__________ Type:________________________________ Weight:_________________________ Smoking: Yes:__________No___________ In Case of Emergency, please notify: Name:___________________________Relationship:______________________Phone:_______________ I/We do hereby consent to and authorize_____________________________________________ to obtain, verify and exchange information on any report concerning me as are maintained by, but not limited to city, county, state, federal law enforcement agencies, credit reporting agencies, present or past employers, present or past residences. I understand that any information obtained may be considered by the landlords in their sole discretion, as a factor in the decisions they make with respect to the dwelling for which I am applying. I/We do hereby certify that the information in this application for lease is accurate, full and complete. Any discrepancy or lack of information will result in immediate rejection of this application and termination of the tenants right to possession any subsequent lease agreement. I/We understand that this is an application and not a lease agreement in whole or part. The $_____________holding Security deposit is a not refundable if the application is accepted and I/We fail to move in. I/We hereby acknowledge a Non-Refundable application fee of $35.00 to be used in the processing of this application Signature__________________________________________________________Date:________________ Signature:_________________________________________________________ Date:________________ AUTHORIZATION TO ACCESS CREDIT (PLEASE PRINT AND SIGN WHERE INDICATED) _________________________ _________________________ Last Name Last Name _________________________ _________________________ First Name First Name _________________________ _________________________ Street Address Street Address _________________________ _________________________ City State Zip City State Zip Social Security #_____/_____/_____ Social Security #_____/_____/_____ Are The Applicants Married? _______Yes _______No ***Note: If you have resided at the above address for less than 2 years, please provide your prior residency information: ______________________________ ______________________________ Street Address Street Address ______________________________ ______________________________ City State Zip City State Zip I hereby authorize access to my/our credit file from national data repositories as directed in conjunction with my application for rental of real estate. ___________________________________ _________________________________ APPLICANT SIGNATURE DATE CO-APPLICANT SIGNATURE DATE
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Direct 630-393-2051
