Name * First Name Last Name Email Phone (###) ### #### Date of birth MM DD YYYY Social Security Number Which Property are you interested in? 486 W Bristlecone Dr Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 2018 N 375 W Bedroom 1 Bedroom 2 Bedroom 3 Master Bedroom Desired move-in date MM DD YYYY Rental History Current address How long have you been residing at this address? Monthly rent at current residence $ Landlord's name First Name Last Name Have you ever been evicted from a rental residence? Yes No Have you missed two or more rental payments in the past 12 months? Yes No Have you ever refused to pay rent when due? Yes No If you have answered YES to any of the above, please state your reasons and/or circumstances Employment History Employment status Full-time Part-time Student Unemployed Retired Current employer Supervisor's name First Name Last Name Supervisor's phone number (###) ### #### Job title Date hired MM DD YYYY Monthly income $ Other sources of income Credit History Do you consent to a credit check? Yes No Is there anything that we may find in our credit check that you want to comment on? Do you consent to a criminal background check? Yes No Personal Background Are you a smoker? Yes No Rate your cleanliness Low Medium High Do you have any pet peeves when living with housemates? If so, please list them. Was there anything that really bothered you about your past living situation(s)? Are you okay with overnight guests? Yes No How do you feel about noise? Does the consumption of alcohol on the property bother you? Yes No What are your hobbies? Are you looking to rent for the summer as well? Yes No Describe your personality I declare that the information I have provided is true and correct, and contains no misrepresentations. If misrepresentations are found after a residential lease agreement is entered into between the Landlord and Applicant, the Landlord shall have the option to terminate the residential lease agreement and seek all available remedies. Yes No The Applicant authorizes the Landlord to verify all references and facts, including but not limited to current and previous landlords, employers, and personal references. The Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing or may result in the denial of the application. * Please print your full name: Today's date MM DD YYYY Thank you! Apply here:
