APPLICATION TO RENT Each individual occupant who is responsible for rent payment MUST complete a separate application form. $30.00 rental application fee must be paid in order for your application to be processed.   Address of property desired Desired move-in date   PERSONAL INFORMATION   Name: First Middle Last   Social security number Date of birth Driver's license no. / State   Email address Phone number Textable YES NO   Current address City / State / Zip   Length of time Reason for moving   Landlord name Landlord phone Monthly payment   Previous address City / State / Zip   Length of time Reason for moving   Landlord name Landlord phone Monthly payment   Do you smoke? YES NO Do you have pets? NO YES If yes, please describe:   Please list any skills you may have (ex. drywall, masonry, flooring, etc.):   OTHER TENANT(S)    Name    Age    Relationship                               EMPLOYMENT INFORMATION   Primary employment Employer name Phone number   Length of employment Address Supervisor   Previous employment Employer name Phone number   Length of employment Address Supervisor   FINANCIAL INFORMATION   Total gross income Per YEAR MONTH WEEK (we require proof of income)   Source(s) of income (ex. wages, salary, govt. assistance, child support)    Bank name    Type    Est. balance      CHECKING SAVINGS        CHECKING SAVINGS      Credit card    Est. balance    Credit limit                 PLEASE LIST ALL OF YOUR CURRENT MONTHLY EXPENSES (INCLUDING MEDICAL, STUDENT LOANS, CELL PHONES, ETC.)    Expense    Monthly payment    Expense    Monthly payment                              EMERGENCY / PERSONAL REFERENCE INFORMATION   IN CASE OF EMERGENCY, NOTIFY:    Name    Address    Phone    Relationship                     Mother's maiden name   PERSONAL REFERENCES (These are very important)    Name    Address    Phone    Years known                              VEHICLE INFORMATION    Make / Model    Year    License number                        APPLICANT QUESTIONS   Have you ever filed for bankruptcy? NO YES If yes, date filed & describe:   Have you ever been evicted or asked to move? NO YES If yes, describe:   Have you ever been arrested/convicted of a crime? NO YES If yes, describe:   Do you own any real estate? NO YES If yes, where and what:   Have you ever willfully and intentionally refused to pay rent when due? NO YES   Do you know of anything which may interrupt income or ability to pay rent?   APPLICANT AUTHORIZATION Applicant represents that all the above statements are true and correct and hereby authorizes landlord/agent to verify the above items including, but not limited to: obtaining a credit report, verification of finances, employment, and rental history. Applicant agrees to furnish additional character or credit references upon request. Applicant also authorizes landlord/agent to obtain updated information annually or on future occasions for rental renewal or collection purposes. Applicant acknowledges this application will become part of the lease agreement when approved. Please type the date and your name if you agree (authorize): Date Signature   Applications are not complete until we have received ALL of the following:  - Completed application with electronic (typed) signature (submit below)  - Proof of ALL income (pay stubs, W-2's, etc.) - email preferred  - Completed pet application if you have pets (lower right hand of our website)  - Payment of $30.00 application fee (payment options on next page) (PAYMENT OPTIONS ARE ON THE NEXT PAGE)