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THE GREATER BATON ROUGE AREA’SPREMIER FULL SERVICE REAL ESTATE BROKERRESIDENTIAL PROPERTY MANAGEMENT AND SALESCOMMERCIAL PROPERTY MANAGEMENT AND SALESHOMEOWNERS ASSOCIATION MANAGEMENTRENTAL PROPERTY APPLICATIONAddress of the Property you wish to lease: _____________________________________________Desired Move-In Date: ___________________________ Applicant Name (First, Middle, Last): ___________________________________________Social Security Number _________________________________Date of Birth _________________________________ Driver’s License Number _________________________________ Driver’s License State _________________________________ Driver’s License Expiration Date ___________________________ Home Phone Number _________________________________ Work Phone Number _________________________________ Mobile Phone Number _________________________________ Applicant Email Address _________________________________ Emergency Contact (Relative or Closest Friend other than Spouse or Roommate) ___________________________ Emergency Contact Number ______________________________ Spouse Information Spouse Name __________________________________________________________________________ Spouse Social Security Number _____________________________ Spouse Date of Birth _____________________________ Spouse Driver’s License Number _____________________________ Spouse Driver’s License State _____________________________ Spouse Driver’s License Expiration Date ______________________ Spouse Home Phone Number _____________________________ Spouse Work Phone Number _____________________________ Spouse Mobile Phone Number _____________________________ Spouse Email Address ____________________________________ Emergency Contact (Relative or Closest Friend other than Spouse or Roommate) _____________________________ Emergency Contact Number _____________________________Current Address InformationAddress _____________________________________________________________________________ City ___________________________________________________State __________________________________________________Zip Code ________________________________________________ Own or Rent __________________________________________ Manager/Landlord Name __________________________________ Manager/Landlord Phone Number ___________________________ Move In Date ________________________________________ Move Out Date ___________________________________ Current Monthly Rent $ _____________________________ Reason for Move ____________________________________ Previous Address Information Address _________________________________________________City ____________________________________________________State ___________________________________________________Zip Code _________________________________________________ Own or Rent ___________________________________________ Manager or Landlord Name __________________________________ Manager or Landlord Phone Number __________________________ Move In Date __________________________________________ Move Out Date __________________________________________ Monthly Rent $ __________________________ Reason for Move ___________________________________________________________________ ___________________________________________________________________________Pet Information Pets (Circle One): YES / NO If Yes: Gender ___________________________ Breed ________________________________ Age of Pet ______________________________ Sprayed or Neutered: _____________________ Pet Color _______________________________ Pet Weight _____________________________ Other Relevant Information about Your Pet _________________________________________________ ______________________________________________________________________________Applicant Employment Information Self Employed (Circle One): YES / NO Employer Name __________________________ Address _________________________________City ____________________________________State ___________________________________Zip Code_________________________________ Date Hired ______________________________ Position/Job Title: ________________________ Supervisors Name ________________________ Employer Phone Number __________________ Monthly Income before Taxes: $ ________________________________ Spouse Employment Information Spouse Self Employed (Circle One): YES / NO Employer ___________________________________ Address ____________________________________City _______________________________________State ______________________________________Zip Code ____________________________________ Date Hired __________________________________ Position or Job Title __________________________________________ Supervisor's Name: ___________________________ Employer Phone Number ______________________ Monthly Income before Taxes $_________________________________ Other Income Other Sources of Income (Please Describe): _________________ Total other Monthly Income $ ____________________________ Person to verify other income amount ______________________ Phone Number ________________________________________Total Income Total Monthly Income (Verifiable Amount) $ _________________________________________________ Other Occupants Additional Occupant #1 __________________________________Age ____________ Additional Occupant #2 __________________________________Age ____________ Additional Occupant #3 __________________________________Age ____________ Additional Occupant #4 __________________________________Age ____________Please Answer the Following Questions Have you or any occupant ever broken a Lease?(Circle One) YES /NOIf Yes: Date ________________________ If Yes: Explain ______________________________________________________ Have you or any occupant ever been convicted of a felony? (Circle One) YES /NO f Yes: Date ________________________ If Yes: Explain ______________________________________________________ Have you are any occupant ever been removed from a rental property by forcible action or any other legal action? (Circle One) YES /NO If Yes: Date ________________________ If Yes: Details ______________________________________________________Personal Vehicle Info Car 1 Make _________________________ Car 2 Make _________________________ Car 1 Model ________________________ Car 2 Model ________________________ Car 1 Color ________________________ Car 2 Color ________________________ License Plate # ______________________License Plate # ______________________ Please Enter the Information of the Property You Wish To Lease Address _______________________________________________________________________________City _____________________________________________State ____________________________________________Zip Code __________________________________________ Date you wish to occupy the Home _______________________________________________________________ Additional Questions or Comments _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please Read Before Submitting This FormBy submitting this application you are accepting the following terms. You are declaring that all of the information on this application is true and correct. You give the landlord the authority to verify all information and request a report from a credit reporting agency. Houses may be held for future occupancy with a deposit. A $35.00 Lease Application Fee will be charged in order to process your application. ................
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