RENTAL APPLICATION FORM

Each co-resident and each occupant over 18 years of age must submit a separate application. 

Date Application completed:                                                

ABOUT YOU: 

Full Name (exactly as on driver’s license or govt. ID card)               

                                                                                                            

Current address:                                                                                   

                                                                                                            

Phone (              )                                                                                

Current monthly rent $                                                                         

Name of apartment where you live                                                      

Current  owner/manager’s name                                                          

Their phone                                                                                        

Date moved in                                                                                    

Why are you moving?                                                                         

                                                                                                           

Your previous home address                                                                  

                                                                                                              

Apartment name                                                                                    
Name of above owner/manager                                                             

Their phone                                  Previous monthly rent $                    

Date moved in                               Date moved out                               

Your Social Security #                                                                           

Driver’s license # and state                                                                    

OR gov’t photo ID card #                                                                        

Marital status                                                                                         

Birthdate                               Height                       Weight                    

Sex                                 Eye color                       Hair color                 

YOUR WORK:  Present employer                                                        

Address                                                                                               

Work Phone (                  )                                                                   

Type of work                                                                                       

Your monthly income is over                                                              

Date you began this job                                                                      

Supervisor’s Name                                                                               

Previous employer                                                                                

Address                                                                                                 

Work Phone (                  )                                                                     

Type of work                                                                                          

Your monthly income was over $                                                           

Dates you began and ended this job                                                      Previous supervisor’s name                                                                   

YOUR SPOUSE:  Full name                                                               

Present employer                                                                                

Address                                                                                               

Work Phone (                  )                                                                   

Type of work                                                                                       

His/Her monthly income is over $                                                        

Date He/She began this job                                                                

Supervisor’s name                                                                                 

Supervisor’s phone # (                )                                                           

Social Security #                                                                                   

Driver’s license # and state                                                                     

OR gov’t photo ID card #                                                                         Birthdate                         Height                       Weight                          
Sex                                 Eye color                       Hair color                  

OTHER OCCUPANTS:  Names of all persons under age 18 and other adults who will occupy the apartment without signing the lease. 

Name:                                                  DL or gov’t ID card                                    Birthdate                         Sex               Relationship                   

Name:                                                  DL or gov’t ID card                                    Birthdate                         Sex               Relationship                  
Name:                                                  DL or gov’t ID card                                    Birthdate                         Sex               Relationship                          

YOUR VEHICLES:  List all vehicles to be parked by you, your spouse, or any occupants (including cars, trucks, motorcycles, RVs, trailers, boats, etc.)

Make of Vehicle:                                                                 Year                         License #                                                     State                      

Make of Vehicle:                                                                 Year                         License #                                                     State                      

Make of Vehicle:                                                                 Year                         License #                                                     State                        

YOUR CREDIT/CRIMINAL HISTORY:

Your bank’s name                                                                                 

City/State                                                                                             

Active checking account number                                                           

Active savings account number                                                             

Other credit information                                                                          

Have you, your spouse, or any occupant listed above ever: 

been evicted or asked to move out?

broken a rental agreement or  lease contract?

declared bankruptcy?

 been sued for nonpayment of rent?

been sued for damage to rental property?

been convicted of a felony?

received deferred adjudication for a felony?  

 Please explain below, stating year, location and type of each felony:

                                                                                                            

                                                                                                            

                                                                                                            

 You represent the answer is “no” to any block not checked above.

OTHER INFORMATION:                                  

Will you or any occupant have a pet?    Yes     No        

If so, indicate kind, weight, breed, age                                                                                                                                                        

 

 How were you referred?   Stopped by    Rental Guide  
 Other                                                                                 
 Name of rental agency or locator service                          
 Agent’s name                                                                          
 Friend (name)                                                                 
  Newspaper (name)                                                            		 

EMERGENCY:  In emergency, notify (preferably a relative):

Name                                                                                                   

Address                                                                                              

                                                                                                           
If you become seriously ill or die, you authorize the person listed  above to enter your dwelling to remove and store all contents, as  well as your property in the mailbox, storerooms and common areas.
In case you become seriously ill or are injured, you authorize us to send for an ambulance at your expense. We are not legally obligated to do so.

 If you become seriously ill or are injured, what doctor should we notify?

Work Phone (              )                                                                        
Name                                                                                                   

Home Phone (              )                                                                         Address                                                                                                 

Relationship                                                                                         
Phone                                                                                                  

Important medical information in emergency                                                                                                                                                       

 

Contemplated Lease Contract Information

To be filled in only if the Lease Contract is not signed by resident(s) at time of application for rental.
Names of all residents who will sign Lease Contract                                                                                                                                                                                                                                                
Name of Owner/Lessor
Property Name and type of dwelling (bedrooms and baths)                                                                                                                           Complete street address                                                                                                                                                                                 
Names of all other occupants not signing Lease Contract   (persons under age 18, relatives, friends, etc.)                                                                                                                                                            
Total number of residents and occupants                                          
Our consent necessary for guests staying longer than                days
Commencement date and ending date of Lease Contract                                                                                                                           
Total security deposits for all purposes of $                                             
# of keys for ­­­____ unit, _____ mailbox, other                                
Total monthly rent for dwelling unit of $                                          
Rent to be paid at On-Site Property Manager’s office or at                                                                                                                
Monthly parking (if any) $                                                                  
Prorated rent for first month of $                                                         		Monthly rental due date                                                                         
Late charge date                                                                                    
Initial late charge of $                                                                            
Daily late charge of $                                                                              Returned check charge of $                                                                    
Daily pet violation charge of $                                                                
(check one) furnished or  unfurnished;
Utilities paid by owner (check):  electricity,  gas,  water, 
 wastewater,  trash, cable TV,  master TV antenna
You will (check one):  buy insurance or  self-insure       
Agreed reletting charge of $                                                                  
Your move-out notice will terminate Lease Contract on (check one):
last day of month following next due date for rent, or exact day

designated in move-out notice but no sooner than 30 days after notice; Special provisions                                                                                                                                                                                              

If dwelling unit is house or duplex, owner will be responsible under

paragraph 26 of the Lease Contract for lawn/plant maintenance,  lawn/plant fertilization, picking up trash from grounds,

garbage service, and/ortrash receptacle. If not checked,

applicant will be responsible.

                                                                                                              

Application Agreement

1.        Lease Contract Information.  The Lease Contract contemplated by the parties is attached.  Special information and conditions must be explicitly noted on the Lease Contract or above.                                         

2.        Application Fee (nonrefundable). You have delivered to our representative an application fee in the amount indicated below, and this payment partially defrays the cost of administrative paperwork.  It is nonrefundable.                           

3.        Application Deposit (may or may not be refundable). In addition to any application fee, you have delivered to our representative an application deposit in the amount indicated below. The application is now considered a security deposit. It will be either a) credited to the required security deposit under paragraphs 4 or 5 below, b) refunded under paragraph 6 below, or c) retained by us as liquidated damages under paragraphs 7 or 8 below.                      

4.        Approval when Lease Contract is Signed in Advance. If you and all co-applicants have already signed the Lease Contract when we approve it, our representative will notify you (or one of you if there are co-applicants) of our approval, sign the Lease Contract, and then credit the application deposit of all applicants toward the required security deposit.                                    

5.        Approval When Lease Contract Isn’t Yet Signed. If you and all co-applicants have not signed the Lease Contract when we approve it, our representative will notify you  (or one of you if there are co-applicants) of the approval, sign the Lease Contract when you and all co-applicants have signed, and then credit the application deposit of all applicants toward the required security deposit. 

6.         Refund upon Non-approval. If you or any co-applicant is disapproved, we’ll promptly refund all application deposits.                        

7.        Your Failure to Sign. You and all co-applicants must sign the Lease Contract within three days after receiving notice of our approval.  If you or any co-applicant fails to do so, we may retain the application deposit as liquidated damages, and the parties will have no further obligation to each other.

8.        If you Withdraw. We have agreed to take the dwelling unit off the market while we consider approval of your application.  Neither the application nor the application deposit may be withdrawn by you or any co-applicant.  If you or any co-applicant withdraws an application or notifies us that you’ve changed your mind about renting the dwelling unit, we’ll be entitled to retain all application deposits as liquidated damages, and the parties will have no further obligation to each other.         

9.        Keys. We’ll furnish keys only after 1) all parties have signed the contemplated Lease Contract and other rental documents; and 2) all applicable rents and security deposits have been paid in full.

10.     Notice. Any notice we give you or your co-resident is considered notice to all applicants; any notice from you or your co-resident is considered notice from all applicants.

11.     No Notice from Owner. If you or any co-applicant has not received notice of approval or non-approval from us within ­______ days of the latest date shown below, you’ll be responsible for contacting our representative to verify approval or non-approval.  You and any co-applicants may not assume approval or non-approval until receiving actual notice of approval or non-approval.

12.    Receipt. Application fee (nonrefundable): $                Application deposit may or may not be refundable) $             Total amount of money  we’ve received on this date: $            (total of application fee and application deposit).

13.    Signature. Our representative’s signature is consent only to the above application.  It does not bind us to accept applicant or to sign the proposed Lease Contract agreement.

 

Acknowledgment by Signing. You declare that all your statements on the first page of this Application are true and complete.  You’re authorizing us to verify this information through all available means.  We’re not required to verify or investigate any preliminary findings.  If you’ve failed to answer any questions, we’re entitled to reject this Application. If you’ve given false information, we’re entitled to (1) reject the Application, (2) retain all application fees and deposits as liquidated damages for our time and expense, and (3) terminate your right of occupancy.  Giving false information may also constitute a serious criminal offense.  In any lawsuit relating to this Application, including statutory or regulatory right stemming from any lease, the prevailing party is entitled to recover attorney’s fees and all other costs of litigation from the losing party.  We reserve the right to furnish information to consumer reporting agencies about the performance of our residents on their Lease Contract obligations.  This information may be reported at any time and include both favorable and unfavorable information regarding your compliance with the lease, the rules, and your financial obligations. 

Applicant’s Signature:                                                                                                   Signature of Spouse:                                                                                                     Signature of Owner’s Representative:                                                                         Date:                                                                    Date:                                                                    Date:                                                                 

FOR OFFICE USE ONLY

1.  Apt name or dwelling address (street, city):                                                 
2. Person accepting application:                                                                     
3. Person processing application:                                                                    		 Phone (              )                                                                        
Phone (              )                                                                        

4. Date that applicant or co-applicant was notified by  telephone,  letter, or  in person of acceptance ornon-acceptance:                

5. Name of person(s) who were notified (at lease one applicant must be notified if multiple applicants):                                                                         

6. Name of owner’s representative who notified above person(s):