Property Address 7102 Ethan Allen The applicant was referred to Landlord by:
Applicant Information
Applicant’s name (first, middle, last): Former last name (maiden or married): Social Security Number Drivers License Number Home Phone Number Cell Phone Number Date of Birth Email Current Address Landlord's Name Landlord's Phone Number Monthly Rent Reason For Moving Previous Address Marital Status SingleMarriedDivorced Spouse Name
Employment Information
Current Employer How Long? Employer Address Employer Phone Position Monthly Income
Emergency Contact
Name Of Person Not Residing With You Address Phone
Financial Information
Bank Account Amount In Checking Amount In Saving Amount Of Cash Available What May Interrupt Your Income Or Ability To Pay Rent
Other Information
Anticipated Move-in Date: Have You Ever Broken A Lease? YesNo Have You Been Convicted Of A Crime? YesNo Have You Ever Been Evicted YesNo Lease Requested 1 Year2 Years3+ Years Do You Currently Have Cash Onhand For First Month's Rent + Deposit YesNo - Will Have Soon Does Anyone Who Will Occupy The Property Smoke? YesNo Is Anyone Who Will Occupy The Property A Registered Sex Offender? YesNo
References
Referance #1 Name, Address, Phone Referance #2 Name, Address, Phone Referance #3 Name, Address, Phone
Authorization
Applicant authorizes Landlord and Landlord’s agent, at any time before, during, or after any tenancy, to:
(1) obtain a copy of Applicant’s credit report; (2) obtain a criminal background check related to Applicant and any occupant; and (3) verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.
Privacy Policy
Landlord’s agent or property manager maintains a privacy policy and will not share your information.
Fees & Deposit
Applicant submits a non-refundable fee of $40.00 for processing and reviewing this application.
Acknowledgement & Representation
Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign. The applicant represents that the statements in this application are true and complete.
I give my permission:
(1) to my current and former employers to release any information about my employment history and income history to the above-named person; (2) to my current and former landlords to release any information about my rental history to the above-named person; (3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person; (4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person; and (5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.
Check The Box Below To Confirm
I agree to all of the above
Click on "Submit Application", After you receive confirmation that the application has been sent, use the below link to pay the $40 Application fee.
Click here to pay the $40 App fee on paypal