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