APPLICATION  FOR  RENTAL

EACH ADULT APPLYING FOR UNIT MUST COMPLETE A SEPARATE APPLICATION

PLEASE PRINT - ALL information must be completed.  The decision to rent to you will depend in great part on your credit history and references.  Only clean, responsible people who pay rent on time, need apply.

Address you are applying for: __________________________________________________
How did you find out about us?   Sign  o:   Newspaper  o:   Friend  o:   Other  o  ____________________

YOUR PERSONAL INFORMATION

Full Name ___________________________________________________ Phone  (_______)___________________ Work Phone  (_______)_________________
Social Security Number ________-_____-_________ Driver's License #______________________________________________ State: ____________________
Present Address ______________________________________________________________________________________________________________________   
	City ___________________________________________________________________  State: ____________  Zip: ____________________________
	How Long? __________  If renting, Apartment name/location _______________________________________  Phone: (_____)__________________
	Landlord/mgr's name _______________________________________________________________  Alternate Phone:  (_____)__________________
	Why are you leaving? ________________________________________________________________________________________________________ 
	________________________________________________________________________________________________  Current Rent: $____________
Previous Address _____________________________________________________________________________________________________________________  
	City ___________________________________________________________________  State: ____________  Zip: ____________________________
	How Long? __________  If renting, Apartment name/location _______________________________________  Phone: (_____)__________________
	Landlord/mgr's name _______________________________________________________________  Alternate Phone:  (_____)__________________
	Why did you leave? __________________________________________________________________________________________________________ 
Employer _____________________________________________________________________ Position: __________________________ How Long? _________
	Address ____________________________________________________________________________________ Phone: (_____)__________________
	Gross Monthly Income before deductions: $______________ Other Income: $_______________ Source: ___________________________________
Former Employer _____________________________________________________________  Position: __________________________ How Long? _________
	Address ____________________________________________________________________________________ Phone: (_____)__________________
	Why did you leave? __________________________________________________________________________________________________________ 

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CREDIT REFERENCES:  This can include store credit cards, rental stores, car loans, small loans, etc.

Bank __________________________________________ Acct #( s) _________________________ Branch ___________ Checking: [   ]: Savings [   ]: Loan [   ]: 
	City __________________________________________________ State _________ Approx. Balance $_____________________ How Long? _______
Other Active Credit Ref: ______________________________________________ Account # ______________________________  Exp. Date: _________ 	Type of Account: ___________________  Credit Limit: $_____________  How Long? ________  Are all payments current?   YES   o:    NO   o:
Other Active Credit Ref: ______________________________________________ Account # ______________________________  Exp. Date: _________ 	Type of Account: ___________________  Credit Limit: $_____________  How Long? ________  Are all payments current?   YES   o:    NO   o:
Have you ever been evicted?   YES   o:    NO   o:                       Have you ever had a foreclosure/repossession?  YES   o, Date _________________:   NO   o:
	If yes, explain:  ______________________________________________________________________________________________________________
Have  you ever filed for bankruptcy?   YES   o, Date _______________________:    NO   o:  	         If yes, Chapter 7 o  or Chapter 13 o?  
	Explain:  ___________________________________________________________________________________________________________________
Have you ever been convicted of a crime, other than a traffic violation?    YES   o:    NO   o:
	If yes, explain:  ______________________________________________________________________________________________________________

PERSONAL REFERENCES  -  List three persons, other than your relatives, that we may contact to verify your character. 

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________	Address __________________________________________ City ___________________________________ State ______ Zip ___________________
Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________	Address __________________________________________ City ___________________________________ State ______ Zip ___________________
Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________	Address __________________________________________ City ___________________________________ State ______ Zip ___________________

EMERGENCY - In an emergency you may contact (List two, other than spouse/roommate, nearest relatives first)

Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________	Address __________________________________________ City ___________________________________ State ______ Zip ___________________
Name ____________________________________________________________ Relationship ______________________ Phone: (_____)__________________	Address __________________________________________ City ___________________________________ State ______ Zip ___________________

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OTHER INFORMATION

OTHER PERSONS (INCLUDING CHILDREN) WHO WILL LIVE IN THE DWELLING UNIT

Name ______________________________________________________ 		Name _______________________________________________________  

Name ______________________________________________________ 		Name _______________________________________________________  

* Pets:  Name ____________________ Type __________  Weight ____ lbs.	Name ____________________ Type __________  Weight ____ lbs.

* NOTE: No pets are allowed at any time on the premises without prior Management consent and payment of fees  -  NO EXCEPTIONS

Date of desired occupancy _______________  Anticipated length of stay ______________  

Do you have:  Vacuum cleaner o:   Lawn mower  o:   Water bed  o:   Musical instruments  o:   Does anyone smoke?  Yes  o:    No  o:  

List all motor vehicles, including recreational vehicles, to be kept at the property:

MAKE 	MODEL 	COLOR	YEAR	LICENSE PLATE # 	STATE	MONTHLY PAYMENT

________	________	________	_______	________________	__________	$_____________________

________	________	________	_______	________________	__________	$______________________

________	________	________	_______	________________	__________	$______________________

________	________	________	_______	________________	__________	$______________________

A non-refundable application fee of $________ and a reservation fee of $__________ are required for processing this application, and is being paid herewith.  An Application Receipt Agreement must be signed by all adults who will occupy the property before this application can be considered by Management.  The undersigned expressly agrees that if this application is approved applicant herewith agrees to rent this property.  Applicant further agrees that if applicant is accepted by Management and then decide, for any reason, not to move into the premises, then all monies paid herewith shall be retained as liquidated damages since other prospective tenants may have been turned away and it will be necessary for Management to re-advertise the property and evaluate other applicants.  Processing of application shall be as timely as possible and the results may be delivered via telephone, fax or mail.  Once approved, applicant agrees to pay the balance of funds and complete the paperwork within 48 hours, otherwise management will assume that applicant has decided to forfeit the reservation/earnest money payment made herewith and will begin re-marketing the property.  If applicant is not approved, all monies given herewith, less application fee shown above, shall be returned to applicant.

A PHOTOSTATIC COPY OF MY DRIVER'S LICENSE OR PICTURE IDENTIFICATION CARD, SOCIAL SECURITY CARD, LATEST PAY CHECK STUB(S) AND LAST YEAR'S W-2(s) OR COPY OF LAST YEARS INCOME TAX RETURN ARE ATTACHED TO THE APPLICATION [  ], OR WILL BE PROVIDED [  ].  I declare that the application is complete, true and correct and I herewith give my  permission for anyone contacted to release the credit or personal information of the undersigned applicant to Management or their authorized agents, at any time, for the purposes of entering into and continuing to offer or collect on any agreement and/or credit extended.  I further authorize Management or their Authorized Agents to verify the application information including but not limited to getting criminal records, contacting creditors, present or former landlords, employers and personal references, whether listed or not, at the time of the application and at any time in the future, with regard to any agreement entered into with Management.  Any false information will constitute grounds for rejection of this application, or Management may at any time immediately terminate any agreement entered into in reliance upon misinformation given on the application.

____________________________________________		____________________	__________________
Applicant Signature	Social Security Number		Date