RENTAL APPLICATION
Equal Housing Opportunity

How did you hear about us? (Be specific)

______________________________________________

The undersigned hereby makes an application to rent unit #_____________ located at: ____________________________________________________________________________________. 

Anticipated move date of ___________________at a monthly rent of $_______________ and security deposit of $_______________.

Section 8

Please indicate when your voucher expires:______________________

Please indicate the amount of your voucher: $_____________________

*You are responsible for the difference between your voucher and the rent.

Full Name__________________________________________________ Home Phone (        ) ________________________
Date of Birth_________________________________  Social Security #__________________________________________
Email Address:__________________________________________(optional)    Other Phone (       ) ___________________
Co-Applicant Name_________________________________________ Names of Dependents_________________________
Co-Applicant Date of Birth______________________  Social Security #__________________________________________
Dependents Date of Birth________________________________________________________________________________
List All Pets__________________________________________________________________________________________
 

Current Address_______________________________Apt#________ City__________________ State______ Zip________
Month/Year Moved In______________________ Reasons for Leaving____________________________Rent $__________
Owner/Agent__________________________________________________Phone (       ) ____________________________
Previous Address (last 3 years)_________________________________________________________Rent $____________
Owner/Agent__________________________________________________Phone (       ) ____________________________
 

Your Status:  _____Full Time _____Part Time _____Student _____Unemployed
Employer______________________________________________________________________________________________
Dates employed_______________________________ Employed as______________________________________________
Supervisor Name______________________________________________ Phone (        )______________________________
Salary $_________________per________________.  (If employed by above less than 12 months, give name & phone of previous employer or school:________________________________________________________________________________.)
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

Amount $___________________ Source/Contact Name__________________________________________________________
 

Banking  Accounts:
Name_________________

Type of Account_________________
Name_________________

Type of Account_________________

*Automatic withdrawl of rental payments Required through PayPal.

*Checking account required, if you don't have a checking account you must open one for auto draft payments prior to lease signing.

*All properties subject to housekeeping inspections and damage inspections.

* Security deposit must be paid at lease signing.

*PayPal rental account must be set-up and verified prior to move-in.

* Your application will not be considered if you do not have a checking account.

*If your rental payment is late, you will incur a $5 per day late fee. If your rent is not received by the end of the 10th day after it is due, eviction proceedings will be started immediately.

*Checking account number to be supplied prior to move-in.

Personal Reference or Emergency Contact:
Name _______________________ Address _______________________________________________
Phone _______________________ Relationship_______________________

Driver's License:
Your Driver's License Number_________________ State_________________

Vehicle Information:
Make / Model _________________Year _________________License Plate State_________________
 

Please give any additional information that might help owner/management evaluate this application?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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Where may we reach you to discuss this application?

Day Phone # (         ) ___________________________ Night Phone # (          )____________________________

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

The above information, to the best of my knowledge, is true and correct.


Please sign:  X__________________________________     __________________________________
                                   Name of Applicant                                                   Date

AUTHORIZATION
Release of Information

I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment with this owner/manager. I further authorize the owner/manager to set-up an automatic rental payment account with PayPal, an Ebay company.

_____________________________________________
Name (please print)

X_______________________________________       __________________________
Signature                                                                                 Date