Rental Application Information Page 3
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3Rental Application – Page 2
EMPLOYMENT/SOURCE OF INCOME:
CURRENT EMPLOYER
ADDRESS_______________________________________________
GROSS MONTHLY SALARY $___________________POSITION ______________________________ HOW LONG?_____YRS______MOS
SUPERVISOR _________________________________________________BUSINESS PHONE (
) __________________________________
CURRENT OTHER INCOME (Source)
_AMOUNT $
___FREQUENCY: _________________
PREVIOUS EMPLOYER
_______
___ADDRESS_____________________________________________
GROSS MONTHLY SALARY $
POSITION
HOW LONG
YRS.
MOS
SUPERVISOR
BUSINESS PHONE (
)
BANKING INFORMATION:
CHECKING ACCOUNT
BANK NAME
BRANCH
CITY
PHONE
ACCOUNT NO.
SAVINGS ACCOUNT
BANK NAME
BRANCH
CITY
PHONE
ACCOUNT NO.
REFERENCES:
NAME
STREET ADDRESS
CITY/STATE/ZIP
PHONE
RELATIONSHIP
NAME
STREET ADDRESS
CITY/STATE/ZIP
PHONE
RELATIONSHIP
EMERGENCY
NAME
STREET ADDRESS
CITY/STATE/ZIP
PHONE
RELATIONSHIP
EMERGENCY
NAME
STREET ADDRESS
CITY/STATE/ZIP
PHONE
RELATIONSHIP
MISCELLANEOUS INFORMATION:
Pets_______________________________________________________Water filled furniture (includes aquariums)_______________________
Description (Number & Type) (Requires separate permission)
Description (Requires separate permission)
Companion animals must be Certified and reported/listed on application
AUTOMOBILES/MOTORCYCLES TO BE PARKED ON PREMISES:
MAKE
MODEL
COLOR
YR
LICENSE #
MAKE
MODEL
COLOR
YR
LICENSE #
Have you ever filed for bankruptcy? ________________ If yes, when: ________________
Have you ever been evicted or asked to move? _________ If yes, please explain. ___________________________
_________________________________________________________________________________________
Have you ever been convicted of selling, distributing or manufacturing illegal drugs? _____________________
Applicant represents that all the above statements are true and correct and hereby authorizes verification of
the above items including, but not limited to, the obtaining of a credit report, unlawful detainer (eviction)
reports, bad check searches, social security number verification, fraud warnings, previous tenant history and
employment history, and agrees to furnish additional credit references upon request. Applicant consents to
allow Fox Property Management or its agent(s) to disclose tenancy information to previous or subsequent
owners/managers. Fox Property Management requires a payment of $____________, which is to be used to
screen applicant with respect to credit history and other background information.
The undersigned makes application to rent housing accommodations designated as: _______________________
Apt.#_________________ Located at:___________________________________________________________
the rent for which is $ ___________ per month. Upon approval of this application and execution of the
Rental Agreement the applicant shall pay all initial sums due, including required deposits in certified
funds (e.g., money order or cashiers check), before occupancy.
SIGNATURE
DATE
Application must be signed to be processed
FPM Form 01 (Revised 03/15)
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