PDF RENTAL/CREDIT APPLICATION

[Pages:3]RENTAL/CREDIT APPLICATION

PERSONAL INFORMATION

Name of Applicant_________________________________________________ Telephone ______________________________ Date ________________ e-mail address ________________________________________ Initial if over 18 years of age_______ Social Sec. No. ____________________________________ Driver's License No._____________________________________ Present Street Address____________________________________________________________________________________ City _____________________________________________________________ State __________________ Zip ____________ Name of Landlord __________________________________________________ Telephone _____________________________ Prior Street Address_______________________________________________________________________________________ City _____________________________________________________________ State __________________ Zip ____________ Prior Landlord _____________________________________________________ Telephone _____________________________ How long have you lived at present address? _______________ How long have you lived at prior address? _________________ How many will be living in this unit? Adults____________ Children____________ Pets___________ Weight of pets___________ Employer ___________________________________ Occupation ____________________ Current Salary _________________ How long? ___________ Contact Person ________________________________ Telephone ____________________________

SPOUSE INFORMATION

Name of Spouse ___________________________________________________ Telephone ____________________________ Social Sec. No. ____________________________________ Driver's License No._____________________________________ Employer ________________________________ Occupation ____________________ Current Salary ____________________ How long? ___________ Contact Person _______________________________ Telephone _____________________________

BANK INFORMATION

Bank Name ______________________________________ Branch __________ Telephone ____________________________ Address________________________________________________________________________________________________ Checking Account No. ________________________________ Savings Account No. ___________________________________

PERSONAL REFERENCES

NAME

RELATIONSHIP

TELEPHONE

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

CREDIT REFERENCES

CREDIT GRANTOR

ADDRESS

TELEPHONE

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

_______________________________________ ___________________________________ ___________________________

OTHER INFORMATION

PERSONAL / CREDIT REFERENCES

Number of vehicles (including company cars)___________________________________________________________________

Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______

Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______

Make/Model________________________________ Year_______ Color __________ Tag No. ________________ State ______

HAVE YOU EVER:

Filed for bankruptcy? No Yes If yes, when?______________________________________________________

Been served an eviction notice or been asked to vacate a property you were renting?

No Yes

If yes,

when?______________________________ why?____________________________________________________

Willfully or intentionally refused to pay rent when due? No Yes

If yes, when? ________________________

why? _______________________________________________________________________________________

How were you referred to us? Newspaper (name) ____________________________ Realtor (name) __________________

Friend (name)_____________________________ Sign (location)__________________ Other ___________________

Rental Unit applied for_____________________________________________________________________________________

Commencement date __________________________ Term _____________________ Rent/Month _______________________

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AUTHORIZATION TO RELEASE INFORMATION

Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the lease or Rental Agreement between parties.

APPLICATION FEE ? Applicant has submitted the sum of $_____________ which is a non-refundable payment for a credit check and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount. In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing application as furnished by applicant. This Application must be signed before it can be processed by Management.

________________________________________________ Applicant's Signature

_______________________________________________ Date

FOR OFFICE USE ONLY ? DO NOT WRITE BELOW

ACKNOWLEDGEMENT

Application Verification

Person Contacted

Remarks

Present Landlord Previous Landlord Applicant's Employment Bank Reference (1) Reference (2) Reference (3) Other

Driver's License/ID

Credit Bureau

Verification completed by _____________________________ Date______________________________________________ Remarks___________________________________________ __________________________________________________

Date

Monies Received

Description

Amount

Application Fee

__________________________________________________

Security Deposit

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

THIS APPLICATION

__________________________________________________

Is Approved

FOR OFFICE USE ONLY ? DO NOT WRITE BELOW

Is Not Approved

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