Residential Lease/Owner Finance Application

Residential Lease/Owner Finance Application

Address of Property: __________________________________________________________________ Requested Move-In Date: __________________________Desired Length of Lease ________________

I. Personal Information

Applicant's Full Legal Name_____________________________________________________________ Birth date __________________________Social Security No. ___________________________ Driver's License No. ____________________________________State ____________________ Current Phone Nos.__________________(hm) _________________(cell)______________(wrk) Marital Status ________________ Spouse's Name____________________________________ Other Names You've Used in the Past ______________________________________________ E-mail Address ________________________________________________________________

(Please provide photocopies of your drivers license and social security card)

How many will occupy the residence?_______ Name_____________________________Age_______Relationahip_______________________ Name_____________________________Age_______Relationship_______________________ Name_____________________________Age_______Relationship_______________________ Name_____________________________Age_______Relationship_______________________

(Every person 18 years or older wishing to occupy the premises must fill out a separate application)

Will you have pets living with you? Yes No (This question does not guarantee that pets will be allowed)

What kind?___________________________________________________________________________

Do you or any other occupant smoke? Yes No

Number of Vehicles ________ License Plate #__________________Year - Make_____________________________________ License Plate #__________________Year - Make_____________________________________

Why are you leaving your present residence?________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

II. Rental History (starting with most recent occupancy)

Landlord Name _______________________________Landlord Phone No._______________________ Address of Property_______________________________________________________________ Dates of Occupancy _______________________Rent Amount ____________________________ Reason for Leaving _______________________________________________________________

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? 2008

Landlord Name _______________________________Landlord Phone No.________________________ Address of Property_______________________________________________________________ Dates of Occupancy _______________________Rent Amount ____________________________ Reason for Leaving _______________________________________________________________

Landlord Name _______________________________Landlord Phone No.________________________ Address of Property_______________________________________________________________ Dates of Occupancy _______________________Rent Amount ____________________________ Reason for Leaving _______________________________________________________________

Have you or any adult intending to occupy the residence ever:

YES NO

been late in making a rental or mortgage payment? bounced a rental or mortgage payment check? broken a lease agreement? moved out owing rent or damages to the landlord? filed for bankruptcy? been served an eviction notice? been evicted from any residence? been foreclosed on any residence? been asked to vacate a property you owned or rented?

If you answered "Yes" to any of the previous questions, please explain the circumstances ____________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

III. Employment Information

Present Employer______________________________ Position ________________________________ Address ______________________________________________________________________ Phone Number ___________________ Supervisor's Name _____________________________ Hire Date ________________________Monthly After-Tax Income________________________

Previous Employer_____________________________ Position ________________________________ Address ______________________________________________________________________ Phone Number ___________________ Supervisor's Name _____________________________ Hire Date ________________________Monthly After-Tax Income________________________

Do you have any other verifiable sources of income to pay the monthly rental obligation other than your current employment? __________________________________________________________________

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IV. Credit Information

Savings Account

Bank/Institution Name

Checking Account

Credit Card

Auto Loan

Balance On Deposit/Owed

Agreement & Authorization Signature

I declare the all of foregoing information to be true, complete and correct, and I hereby authorize the prospective Landlord or their agent to run a credit report and verify all of the above information, including employment status and income. I understand that this is an application only and does not constitute a lease in whole or in part. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope. I also understand that the $______________ application/credit report fee is non-refundable.

Signature: __________________________________________ Date: ___________________________

Print: ______________________________________________

____________________________________________________________________________________ (For office use only ? do not write below this line)

Notes: _____________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

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