RENTAL APPLICATION



|[pic] |Application Checklist |

|8869 Maya Ln, Apt G | |

|Jennings, MO 63136 | |

|Phone: 314-869-5033 Fax: 314-869-8827 | |

|Email: rollinghillsapartments@ | |

|Name: | | |Date: | |

|Number of | | |Number of | |

|Bedrooms | | |Tenants: | |

30 Years of Age and Older:

|Valid ID-Drivers License or State ID |

|Social security cards for all occupants |

|Proof of all qualifying income for the previous 18 months |

|Employment –Last paycheck stubs for all employers during the 18 month time frame |

|SSA/SSI/Disability/Pension-Most recent award letter-Bank Statement |

|Child Support-Recent print out of payments |

|Food Stamps-Most recent award letter / print out via online |

| |

|*** If you have any significant gaps in employment, i.e. school, maternity leave-please provide proof of this time. Transcripts, medical statements….etc. |

|$25.00 Application Fee- We accept money order, debit, or credit cards –There will be an additional fee for accepting |

|Credit /Debit cards. |

| |

|Under 30 Years of Age: |

|Valid ID-Drivers License or State ID |

|Social security cards for all occupants |

|Proof of all qualifying income for the previous 3 years. |

|Employment –Last paycheck stubs for all employers during the 3 year time frame |

|SSA/SSI/Disability/Pension-Most recent award letter-Bank Statement |

|Child Support-Recent print out of payments |

|Food Stamps-Most recent award letter / print out via online |

| |

| |

|*** If you have any significant gaps in employment, i.e. school, maternity leave-please provide proof of this time. Transcripts, medical statements….etc. |

| |

|$25.00 Application Fee- We accept money order, debit, or credit cards –There will be an additional fee for accepting Credit/Debit Cards. |

ROLLING HILLS APTS

RENTAL APPLICATION

314-869-5033: Phone 314-869-8827: Fax

YOUR PERSONAL INFORMATION

(1) Full name (exactly as on driver’s license or govt. ID card):

(2) Former last names (maiden and married):

(3) Social Security #:

(4) Driver’s License # and State:

(5) OR Govt. Photo ID Card #:

(6) Birthdate: ______________ (7) Height: ________________

(8) Weight: ________________ (9) Sex: __________________ (10) Eye color: _____________ (11) Hair color:

(12) Marital status:

( single ( married ( divorced ( widowed ( separated

Current Phone #_________________________________

YOUR HOUSING HISTORY

(13) CURRENT ADDRESS:

___________________________________________________

(14) City/State/Zip:

(15) Phone: ( )

(16) Current monthly rent: $

(17) Street Address from Driver’s License or Govt. ID Card:

(18) Name of apartment where you now live:

(19) Current owner or manager’s name:

(20) Their phone: ( )

(21) Date moved in:

(22) Why are you leaving your present residence:

___________________________________________________

(23) Your PREVIOUS HOME ADDRESS:

(24) City/State/Zip:

(25) Apartment name:

(26) Name of above owner or manager:

(27) Their phone: ( )

(28) Previous monthly rent:

(29) Date moved in:

Date moved out:

Page 1 of 3

Applicant:

Today’s Date:

Desired Date of Occupancy:

Email_________________________________________

(30) Your NEXT PREVIOUS HOME ADDRESS:

(31) City/State/Zip:

(32) Apartment name:

(33) Name of above owner or manager:

(34) Their phone: ( )

(35) Previous monthly rent:

(36) Date moved in:

Date moved out:

YOUR WORK HISTORY

(1) PRESENT EMPLOYER:

(2) Address:

(3) City/State/Zip:

(4) Work phone: ( )

(5) Position/title:

(6) Rate of pay $_________ per (check one):

( hour (average # of hours worked per week ________) OR

( week OR ( month OR ( year

(7) Date you began this job:

(8) Supervisor’s name:________________________________, and phone number:

(9) PREVIOUS EMPLOYER:

(10) Address:

(11) City/State/Zip:

(12) Work phone: ( )

(13) Position/title:

(14) Rate of pay $___________ per (check one):

( hour (average # of hours worked per week _______) OR

( week OR ( month OR ( year

(15) Date you began this job:

Date you ended this job:

(16) Previous supervisor’s name: ________________________,

and phone number:

YOUR CREDIT HISTORY

(1) Your bank’s name, city, state:

(2) List major credit cards:

(3) Have you or your spouse ever owned a home ( Yes ( No

(4) Past credit problems you want to explain (use separate page)

INCOME INFORMATION

(1) Base pay of applicant (including commissions, fees, tips, estimated overtime or other employment earnings for the coming year:

(2) Base pay of co-applicant:

(3) Income from other sources (including Social Security or pension payments, SSI, ADC, disability, alimony, unemployment insurance benefits, military allotments, bank interest, stock dividends, real estate income, income of all family members, child support or ANY INCOME FROM ANY OTHER SOURCE):

Family Member Source Amount

_________________ _________________

_________________ _________________

_________________ _________________

Total Family Income:

RENTAL/CRIMINAL HISTORY

Have you, co-applicant, or any occupant listed above ever:

(1) Been evicted or asked to move out? ( Yes ( No

(2) Broken a rental agreement or lease contract? Yes No

(3) Declared bankruptcy? ( Yes ( No

(4) Been sued for nonpayment of rent? ( Yes ( No

(5) Been sued for damage to rental property? ( Yes ( No

(6) Been convicted of or pleaded guilty or “no contest” to a felony (whether or not resulting in a conviction)? ( Yes ( No

(7) Been subject to Sex Offender Registration? ( Yes ( No

If yes, list all states Registered Offender has resided in is 1996: ___________________________________________________

(8) Received deferred adjudication for a felony? ( Yes ( No

Please indicate the year, location and type of each felony. We may need to discuss more facts before making a decision.

(9) Ever used/solicited/sold illegal drugs, been charged with a drug related or alcohol related offense, and/or been convicted of a drug related or alcohol related charge: ( Yes ( No If yes, please list dates and charges/convictions:__________________

___________________________________________________

You declare that all of your responses are true and complete. Any false statement on this application can lead to rejection of your application or immediate termination of your lease.

CO-APPLICANT

(1) Full name:

(2) Former last names (maiden and married):

(3) Social security #:

(4) Driver’s License # and State:

(5) OR Govt. photo ID card:

(6) Birthdate: __________ (7) Height: ____ (8) Weight:

(9) Sex: _____ (10) Eye color: ______ (11) Hair color:

(12) Present employer:

(13) Address:

(14) City/State/Zip:

(15) Work phone: ( )

(16) Position/title:

(17) Date began job:

(18) Rate of pay $____________ per (check one):

( hour (average # of hours worked per week ______) OR

( week OR ( month OR ( year

(19) Supervisor’s name and phone:

OTHER OCCUPANTS

Names of all persons under 18 and other adults who will occupy the unit without signing the lease. Continue on back of page if needed.

1) Name: __________________________________________

Relationship:

DL or Govt. ID card #: _____________________________

Sex: _____________ Birthdate:

2) Name: __________________________________________

Relationship:

DL or Govt. ID card #: _____________________________

Sex: _____________ Birthdate:

3) Name: __________________________________________

Relationship:

DL or Govt. ID card #: _____________________________ Sex: _____________ Birthdate:

YOUR VEHICLES

List all vehicles to be parked by you, your spouse, or any occupants (including cars, trucks, motorcycles, trailers, etc.). Continue on separate page if more than two.

(1) Make and Color of vehicle:

Year: ___________ License #: _______________________ State:

(2) Make and Color of vehicle:

Year: ___________ License #: _______________________ State:

OTHER INFORMATION

(1) Will you or any occupant have an animal? ( Yes ( No

If so, please indicate the kind, weight, breed, age:

(2) How were you referred?

( Stopped by

( Rental guide (name): _____________________________

( Rental Agency/Locator Service (name):

______________________________________________

Agent’s name:

( Resident referral:

( Friend (name):

( Newspaper (name):

( Other:

EMERGENCY

Emergency contact person over 18 who will not be living with you:

(1) Name:

Address:

City/State/Zip:

Work phone: ( )

Pager/Mobile: ( )

Home phone: ( )

Relationship:

(2) Name:

Address:

City/State/Zip:

Work phone: ( )

Pager/Mobile: ( )

Home phone: ( )

Relationship:

If you are seriously ill, missing, or in a jail or penitentiary according to an affidavit of the above person, or if you die, you authorize (check one or more): ( the above person, ( your spouse, and/or ( your parent(s) to enter your dwelling to remove all contents, as well as your property in the mailbox, storerooms, and common areas. If you are seriously ill or injured, you authorize us to send for an ambulance at your expense. We’re not legally obligated to do so.

APPLICANT AGREEMENT INFORMATION

(1) APPLICATION FEE (NONREFUNDABLE): The application fee submitted with this application partially defrays the cost of administrative paperwork. It is nonrefundable.

(2) APPLICATION DEPOSIT (MAY OR MAY NOT BE REFUNDABLE): The application deposit will be considered a security deposit upon approval of application.

(3) FAILURE TO SIGN LEASE AFTER APPROVAL: You and all co-applicants must sign the Lease within 3 days of application approval. Failure to do so or failure to take possession of the unit will entitle us to retain the application deposit as liquidated damages and we will have no further obligations to you under this agreement.

(4) WITHDRAWAL BEFORE APPROVAL: If you or any co-applicant withdraws this application or notifies us that you’ve changed your mind about renting the dwelling unit, we’ll be entitled to retain all application deposits as liquidated damages.

(5) COMPLETED APPLICATION: A completed application requires: ( separate application by each occupant; ( application fee; and ( application deposit

(6) NONAPPROVAL IN SEVEN DAYS: You will be notified within 7 days whether you’ve been approved. If you do not receive notification within 7 days it is considered a disapproval.

(7) REFUND AFTER NONAPPROVAL: If you or any co-applicant is disapproved, the application deposit will be returned to you within 30 days. Refund checks may be made payable to all co-applicants and mailed to one applicant.

(8) EXTENSION OR DEADLINES: Deadlines falling on a weekend or state or federal holiday will be extended to the next business day.

(9) NOTICE: Notice to any of the co-applicants is deemed notice to all applicants.

AUTHORIZATION

I/We authorize Rolling Hills LLC, or any agent of Rolling Hills LLC, to verify the above information by all available means. Owner is not required to reverify or investigate preliminary findings.

Applicant’s signature:

Co-Applicant’s signature:

AUTHORIZATION FORM

Rolling Hills Apartments, LLC

Applicant

I, ______________________________, do hereby release and authorize all my creditors/grantors of credit/employer(s)/landlord(s), both former and current, to release information regarding my credit/employment/rental history to ROLLING HILLS APARTMENTS LLC and/or their agents and/or representatives.

Current Address: _________________________

_________________________

Date of Birth: _____________________ Social Security #:___________________

_______________________________ ____________________________

Signature Date

ROLLING HILLS APARTMENTS-SECURITY POLICIES

APPLICABLE TO ALL TENANTS

To improve the security and safety of all tenants, occupants, and guests, the policies herein are mandatory and are part of all leases as of 04/07/15.

ONLY OCCUPANTS AND/OR TENANTS listed on a tenant’s occupancy permit and/or lease are expressly permitted to be anywhere within the Rolling Hills Apartment complex. All other persons anywhere within the Rolling Hills complex are here only with the implied consent of Rolling hills and/or Keith Bennett (known collectively and separately as Landlord). Regarding all non-tenants and/or non-occupants, Landlord, in Landlord’s sole discretion, may withdraw this implied consent at any time for any reason.

OVERNIGHT GUESTS of tenant and/or occupant need Landlord’s written before and overnight stay occurs. Before Landlord grants written permission for any overnight stay, the prospective overnight guest must fill out a biography sheet (or full application, if Landlord chooses) and provide a valid photo I.D. All unidentified guests are agreed to be trespassers. All quests are the responsibility of the tenant being visited and are subject to all lease provisions and property policies. Non-compliant guests will result in the eviction of the tenant being visited. Any non-tenant who sleeps anywhere, anytime on this property is deemed and agreed to be an overnight guest.

ALL GUESTS ARE PROHIBITED UNLESS there is an adult tenant and/or occupant with the guest. All quests are the responsibility of the tenant being visited and are subject to all lease provisions and property policies. Non-compliant guests will result in the eviction of the tenant being visited. Guests in an apartment or on the property without an adult tenant are hereby deemed to be and agreed to be trespassers.

COMPLETE VEHICLE DESCRIPTIONS must be provided for all tenant vehicles or guest vehicles to be parked on the property overnight. If a vehicle is parked on the property after midnight it is deemed and agreed to be on the property overnight. Unknown vehicles are subject to tow at owner’s expense.

PERSONS BARRED FROM THE PROPERTY MAY LEAD TO YOUR EVICTION. Association with a person known by you to be barred from the property will lead to your eviction.

THERE ARE NO EXCEPTIONS TO ANY OF THESE POLICIES

FAILURE TO HONOR THESE POLICIES WILL RESULT IN EVICTION

If you have any questions or wish to discuss these policies, make an appointment with Keith,

Thank you.

Tenant’s Signature Date

PROSPECTIVE TENANT ACKNOWLEDGEMENT FORM

As a prospective tenant of Rolling Hills Apartments, I understand and acknowledge that I will not be able to move into my apartment until all of the following criteria are met:

1. My application has been completed and approved.

2. My security deposit (and last month’s rent if applicable) has been paid.

3. My utilities (gas and electric) are on at my assigned apartment.

4. My apartment has been inspected by Laclede Gas and the City of Jennings.

5. My apartment has passed the Laclede Gas and the City of Jennings inspections.

6. My occupancy permit has been presented to Rolling Hills Management.

7. My lease has been signed and keys have been issued to me.

ALL THE ABOVE REQUIREMENTS MUST BE COMPLETED! NO EXCEPTIONS!

I also understand and acknowledge that the Laclede and Jennings inspections cannot take place until the utilities are in my name and that Rolling Hills CANNOT set dates for inspections UNTIL the utilities are in the prospective tenant’s name-therefore, any delay in getting the utilities in my name will delay my move in date.

While most inspections do pass, please understand that just because an inspection is set there is no guarantee the unit will pass. Sometimes inspections fail for unforeseen reasons. Sometimes inspections fail or are delayed because we are running behind. I understand and acknowledge that a failed inspection WILL delay my move in date. This delay is usually 2 to 5 days, but may be longer.

I understand and acknowledge that the purpose of this document is to emphasize that obtaining an apartment is a detailed and lengthy procedure and there may be bumps in the road and my patience and cooperation will make the road to my new home much easier.

I understand that any demand for a refund must be submitted in writing, and that $100.00 will be deducted from my deposit for administrative fees if the demand is made prior to an apartment being assigned to me, and that there will be a one-month’s rent charge deducted from my deposit if the demand is made after an apartment has been assigned to me (and there for taken off the market). In Landlord’s sole discretion, if item number two above has not been paid within 30 days from the date below, there will be a one month’s rent charge deducted from my deposit and the remaining monies will be returned by Landlord. Landlord may give a written extension as to this time period.

Prospective Tenant’s Signature Date

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Leasing Office, 8869 Maya Lane, Apartment G, St. Louis, MO 63136

Tel: 314-869-5033 * Fax: 314-869-8827

Leasing Process Acknowledgement / Waiting List

I, _______________________________________, acknowledge that I will be applying and leasing a unit from Rolling Hills Apartments. I will be placed on a waiting list. Rolling Hills Apartments cannot currently give me a specific date for move-in.

Signature Date

Revised: June 2005

-----------------------

Return Application via mail to:

Rolling Hills Apts

Attn: Application Processing

8869 Maya Ln. Apt G

Jennings, MO. 63136

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