PLEASE TELL US ABOUT YOURSELF
PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)
PLEASE DESCRIBE YOUR CRIMINAL HISTORY
PLEASE DESCRIBE YOUR CREDIT HISTORY
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
(If employed by the above employer for less than 12 months, please provide the name, phone number, and employment dates of previous employer. If you have
more than one employer or if there are 2 applicants, please provide the information below.)
Other Sources of Income:
If you have other sources of income that you would like us to consider, please list income amount, source, and the person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. BANKING INFORMATION:
Where may we reach you to discuss this application?
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.
The $20.00 application processing fee is NON-REFUNDABLE. The applicant is hereby waiving any claim for damages by reason of non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, an investigative consumer report may be prepared whereby information is obtained through credit check, background check and personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.
All of the above information, to the best of my knowledge, is true and correct.
AUTHORIZATION (Release of Information)
I authorize an investigation of my credit, tenant history, banking and employment for the purposes of renting a house, apartment, or condominium from this owner/manager.