Application To Rent Form Page 2
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21801 F St. Bellingham, WA 98225
Tel: 360.527.9829 Fax: 360.527.3082
Employment History
Full Time Student
Employed Full Time
Self‐employed
Current Employer: ___________________________________________________________________________________________ Phone #: ____________________
Address: ___________________________________________________________________________________________________ Position: ____________________
Supervisor: ____________________________________________ How Long: _________________________ Salary / Income: _______________________________
Date of Hire: __________________________________________ No. Hours Worked per Week:_______________
Prior Employer: _____________________________________________________________________________________________ Phone #: ____________________
Address: ___________________________________________________________________________________________________ Position: ____________________
Supervisor: ____________________________________________ How Long: _________________________ Salary / Income: _______________________________
Date of Hire: __________________________________________ No. Hours Worked per Week:_______________
Other Sources of Income: _____________________________________________________________________________ Amount per Month: ___________________
Other Information
No. of Vehicles on Property (List yours only): ________________________________________
Any Rec Vehicles (i.e. boats/motor homes): _________________________________________ (not allowed on multi‐unit properties)
Auto 1 Make: ______________________________________________ License Plate #: __________________ State Issued: _______
Auto 2 Make: ______________________________________________ License Plate #: __________________ State Issued: _______
Note: You are only allowed 1 vehicle per bedroom. In addition, some buildings only have 1 reserved spot per unit even though you may be in a 2 bdrm.
If this is an issue, speak to a property manager. Many buildings have permit only parking and additional vehicles will be required to park off‐site.
Emergency Contact
Please list someone who will not be living in the same unit as you
In case of emergency, please contact the following: __________________________________________________________________
Complete Address: ________________________________________________ Phone #: _____________ Relationship: __________
Have you ever filed bankruptcy?
YES NO If yes, when: ___________________________________________________________
Have you ever been convicted of a crime?
YES NO If yes, explain: _________________________________________________________
Have you ever been delinquent in rent?
YES NO If yes, explain: _________________________________________________________
Have you ever been issued a comply or vacate letter from
your Landlord?
YES NO If yes, explain: _________________________________________________________
Have you ever been evicted?
YES NO If yes, when: ___________________________________________________________
Have you ever broken a rental agreement/lease contract?
YES NO If yes, explain: _________________________________________________________
Have you ever been sued for nonpayment of rent or damages
to rental property?
YES NO If yes, when: ___________________________________________________________
READ OUR LEASE & ALL RELATED DOCUMENTS BEFORE SUBMITTING YOUR APPLICATION
Lease terms may change periodically. Please contact one of our Property Managers or Leasing Agents if you have any questions.
Submission of this application will not be considered “in‐line” for processing until all roommate applications and any related cosigner
applications (if applicable) have been received by our office, fully completed and fees paid in full.
Applicant’s Signature: ____________________________________________________________________ Date: ________________
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