Rental Application For Residents And Occupants

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CMG LEASING
Application Fee $25.00
Rental Application for Residents and Occupants
Each co-resident and each occupant over 18 must submit a separate application.
Spouse may submit a joint application.
Date when filled out: _________________
ABOUT YOU
YOUR SPOUSE
Full name (exactly as on driver's license):
Full name:
_______________________________________________________________
_______________________________________________________
Your street address (as shown on your driver's license):
Former last names (maiden and married): ______________________________
_______________________________________________________________
Spouse's Social Security #: __________-_____-____________
Former last names (maiden and married): _____________________________
Driver's license #: __________________________________State: __________
Driver's license # and state: ________________________ State: ___________
Birth date: _____-_______-_______Height: _________Weight: ____________
Your Social Security #: __________-_________-_________________
Sex: _______Eye color: ___________Hair color: ______________
Student: No Yes Class/Year:_____________
Birth date: _____-_____-_____Height: _________Weight: ________
Sex: ______ Eye color: ________ Hair color: _______
Present employer: _________________________________________________
Marital Status: ___single ___ married
Address: ________________________________________________________
___ divorced ___ widowed ___ separated
City/State/Zip: ___________________________________________________
Student: No Yes Class/Year: ____________________________
Work phone: _____________________________________________________
Are you a member of a fraternity or sorority? No Yes
E-mail address: ___________________________________________________
If yes, give name: _____________________________________
Position: ________________________________________________________
Current home address (where you now live): ___________________________
Date began job: ___________________________________________________
City/State/Zip: ___________________________________________________
Gross monthly income is over: $_________________
Phone: ________________Current monthly rent: $__________
Supervisor's name: ________________________________________________
E-mail address: ___________________________________________________
Supervisor's phone: ________________________________________________
Name of apartment/home where you now live: __________________________
OTHER OCCUPANTS
Names of all persons who will occupy the unit.
Current owner or manager's name: ___________________________________
Continue on separate page if more than three.
Their phone: __________________Date moved in: ______________________
Full Name: ______________________________________________________
Why are you leaving your current residence? ____________________________
Relationship: _____________________________________________________
_________________________________________________________________
Sex: ________ DL #: ________________________________ State: _________
Birthdate: ______-_____-_____Social Security #: _________-_______-______
Full Name: ______________________________________________________
Relationship: _____________________________________________________
Sex: ________ DL #: ________________________________ State: _________
YOUR WORK
Present employer: __________________________________
Birthdate: ______-_____-_____Social Security #: _________-_______-______
Address: ________________________________________________________
Full Name: ______________________________________________________
City/State/Zip: ___________________________________________________
Relationship: _____________________________________________________
Work phone: ___________________Position: __________________________
Sex: ________ DL #: ________________________________ State: _________
Your gross monthly income is over: $______________________
Birthdate: ______-_____-_____Social Security #: _________-_______-______
Date you began this job: ________________________
YOUR VEHICLES
List all vehicles to be parked by you, your spouse, or
Supervisor's name and phone: _______________________________________
any occupants (including cars, trucks, etc.). Continue on separate page if more
than four.
Previous employer: _______________________________________________
Address: ________________________________________________________
Make and color of vehicle: __________________________________________
City/State/Zip: ___________________________________________________
Year: _____ License/Tag #:___________________________ State: _________
Work phone: ___________________Position: __________________________
Make and color of vehicle: __________________________________________
Gross monthly income was over: $____________
Year: _____ License/Tag #:___________________________ State: _________
Dates you began and ended this job: __________________________________
Make and color of vehicle: __________________________________________
Previous supervisor's name and phone: ________________________________
Year: _____ License/Tag #:___________________________ State: _________
Apartment parking is restricted to ONE (1) vehicle per occupant - first come
YOUR CREDIT HISTORY
Your bank's name, account #’s, city, state:
basis.
(use separate page for additional accounts): ____________________________
________________________________________________________________
OTHER INFORMATION
________________________________________________________________
Will you or any occupant have an animal? No Yes
List major credit cards (include card # & exp. date):______________________
Kind, weight, breed, age: ___________________________________________
________________________________________________________________
Do any occupant smoke? Yes No
________________________________________________________________
How were you referred (check all that apply)?  Stopped by
 Sign
Vehicle(s) loan #’s: _______________________________________________
Apartment guide Housing Fair
 Collegiate Times
Financed by: _____________________________________________________
Tartan
Web Page
Your other non-work income you want considered. Please explain: _________
Newspaper (name): ___________________________________________
________________________________________________________________
Friend (name): _______________________________________________
Have you or your spouse ever owned a home: Yes No
Other:_______________________________________________________
Past credit problems you want to explain. (Use separate page)
GUARANTOR
is required to guarantee payment if income requirements are
EMERGENCY
not met and/or applicant is under 21 years of age, unemployed and a full time
Emergency contact person over 18, who will not be living with you:
student.
Name: __________________________________________________________
Guarantor's name: ____________________ Date of Birth: ________________
Address: ________________________________________________________
Home Address: ___________________________________________________
City/State/Zip: ___________________________________________________
City/State/Zip: ___________________________________________________
Work phone: _____________________________________________________
Phone: ______________________________SS #: _______-_____-_________
Home phone: ____________________________________________________
Employer: _______________________________________________________
Relationship: ____________________________________________________
Position: ________________________________________________________
Address: ________________________________________________________
If you are seriously ill, missing, or in a jail or penitentiary according to an
City/State/Zip: ___________________________________________________
affidavit of the above person, or if you die, you authorize (check one or
Phone: ___________________________Annual salary: ________________
more):
the above person,
your spouse,
your parent,
your child to
Email Address:___________________________________________________
enter your dwelling to remove all contents, as well as your property in the
YOUR RENTAL/CRIMINAL HISTORY
Have you, your spouse, or any
mailbox, storerooms, and common areas. If nothing is checked, any of
occupant listed above ever:
the above is authorized at our option. If you are seriously ill or injured,
been evicted or asked to move out?
you authorize us to send for an ambulance at your expense. We are not
broken a rental agreement or lease contract?
legally obligated to do so.
declared bankruptcy?
AUTHORIZATION
been sued for nonpayment of rent?
I (We) authorize CMG Leasing to verify the above information by all
been sued for damage to rental property?
available means. Owner is not required to verify, re-verify or investigate
been convicted of a felony?
preliminary findings.
been arrested for a felony, which has not been finally adjudicated (by
dismissal, acquittal or conviction)?
Applicant's signature: __________________________________________
Please indicate the year, location and type of each felony. We may need to
discuss more facts before making a decision. (Use separate page to explain)
Spouse's signature: ____________________________________________
You represent the answer is "no" to any item not checked above
.
Revised November 2013

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