Rental Application Form Page 2

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LEASE FILE INFORMATION
NEAREST RELATIVE
NAME
HOME PHONE
(LAST)
(FIRST)
(MI)
ADDRESS
WORK PHONE
EMERGENCY CONTACT
(other than above)
NAME
HOME PHONE
(LAST)
(FIRST)
(MI)
ADDRESS
WORK PHONE
PERSONAL DESCRIPTION
PRIMARY APPLICANT
HEIGHT
WEIGHT
HAIR
EYES
SPOUSE
HEIGHT
WEIGHT
HAIR
EYES
VEHICLE DESCRIPTION
VEHICLE 1:
MAKE
MODEL
YEAR
LICENSE#
STATE
VEHICLE 2:
MAKE
MODEL
YEAR
LICENSE#
STATE
BANK
PRIMARY
NAME OF BANK
PHONE#
CHECKING ACCOUNT #
SAVINGS ACCOUNT #
SPOUSE
NAME OF BANK
PHONE#
CHECKING ACCOUNT #
SAVINGS ACCOUNT #
OTHER INCOME AND AMOUNT:
(indicate checking or savings)
(Verification will be requested. Please list any SSI, Pension, Disability, Student Grants, Dividends, Etc.)
Please c
:
FT OR
PT
FULL TIME / PART TIME STUDENT
YES_____
NO________
How many hours are you taking_________What is FT hourly requirement for your school____________
QUALIFYING QUESTIONS
YES
NO
STATE
1. HAVE YOU OR YOUR SPOUSE EVER BEEN EVICTED FROM RENTAL HOUSING? If yes, List State
2. HAVE YOU OR YOUR SPOUSE EVER BEEN CONVICTED OF A CRIME? If yes, List State
3. WILL THERE BE ANY OTHER OCCUPANTS OVER 18 YEARS OF AGE OTHER THAN THOSE LISTED
ABOVE?
RELEASE: I understand that I acquire no rights in an apartment until I sign this agreement and submit a reservation deposit in the amount of $
Upon approval of tenancy and the signing of an apartment rental agreement, this fee will be credited against my deposit, in
.
consideration for landlord holding said apartment at
If application withdraws the application, a fee of $___________ will be retained by Landlord. If approved and the rental unit is held for
applicant for more than 3 days after approval and the applicant withdraws the application, all monies deposited shall be forfeited to the
Landlord.
Pursuant to State and Federal Fair Credit Reporting Acts, this is to inform you that an investigation involving the statements made
on your rental application at the above-mentioned apartment complex, as well as inquiries regarding public records, your character, general
reputation, personal characteristics and mode of living may be initiated. You have the right to dispute the information reported. Upon written
request , you are entitled to a complete and accurate disclosure of the investigation's nature and scope as well as a written summary
of your rights and remedies under the Fair Credit Reporting Act.
We certify that, to the best of my/our knowledge, all statements are true and complete. False,
fraudulent of misleading information may be grounds for denial of tenancy or subsequent eviction. I/We authorize
to obtain
all reports and verifications necessary to verify all information put fourth in the above application and to furnished all information to the landlord
named above.
Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties and only after
applicable rents and security deposits have been paid. This application does not obligate Property to execute a lease
or deliver possession of the proposed premises. I understand if Property is unable to deliver possession of proposed apartment on the agreed
date for any reason, including holdover of a prior Resident, then Property shall not be liable as a result. Property is also under no obligation to
deliver possession of another apartment. By my signature below, I certify that I have read and understand the terms of this rental application.
I am aware that an incomplete application causes a delay in processing and may result in denial of tenancy. Equal Housing Opportunity
Future Resident Signature
DATE
AUTHORIZED CONSULTANT
DATE
Future Resident Signature
DATE
MANAGER APPROVAL
DATE
Faxed application to screening company_______Approved_______Informed Applicant________Manager Approval_________

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