Apartment Rental Application Form

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MCR PROPERTY MANAGEMENT, INC.
PAGE 1 OF 3
APARTMENT RENTAL APPLICATION
PROPERTY NAME:
GROTON ESTATES
DATE:
Rental $
AGENT'S
UNIT TYPE
UNIT #
NAME:
APPLICANT:
[
] SINGLE
[
] MARRIED
[
DIVORCED
APPLICANT NAME:
Last
First
(M)
(
)
(
)
Social Security Number
Date of Birth
Home Phone #
Work Phone, Cellular or Pager
Present Address:
Street Address
Apt #
City
State
Zip Code
Landlord:
(
)
$
Former
Complex Name
Phone #
How Long?
Monthly Rent
Address:
Street Address
Apt #
City
State
Zip Code
Landlord:
(
)
$
Complex Name
Phone #
How Long?
Monthly Rent
Current
(
)
Employe
r
Company Name
City
State
Phone #
Position:
$
Mth/Year
Monthly Income
Supervisor
Commanding Officer and contact phone number is
Military:
(
)
REQUIRED to process this application
Name
Phone Number
Previous
(
)
Employer
Company Name
City
State
Phone #
Position:
$
From / To (Mth & Year)
Monthly Income
Supervisor
*Sources of Other Verifiable Income:
$
Monthly Income
$
Supplying this information is strictly voluntary and should only be supplied if applicant is asking that
Monthly Income
sources of other income be considered as part of the rental decision. Management will consider all
verifiable sources of income such as, but not limited to, budget sheets, welfare, food stamps, housing
assistance, Section 8, pensions, disability, child support, alimony or any other source of income
applicant would like considered.
SPOUSE NAME:
Last
First
(M)
(
)
(
)
Social Security Number
Date of Birth
Home Phone #
Work Phone, Cellular or Pager
Current
Employer
(
)
Company Name
City
State
Phone #
Position:
$
From / To (Mth & Year)
Monthly Income
Supervisor
ROOMMATE(S)
*ROOMMATES ARE REQUIRED TO COMPLETE SEPARATE APPLICATIONS.
Name:
(1)
Last
Last
First
OTHER OCCUPANTS:
APARTMENT TO BE OCCUPIED BY: # of Adults
# of Children
(1)
(2)
First
Date of Birth
Last Name
First
Date of Birth
Last Name
(3)
(4)
Last Name
First
Date of Birth
Last Name
First
Date of Birth
* Allowance- 1 vehicle per applicant (Lessee)
VEHICLE:
Auto Make
Model
Color
Year
License Tag #
State
Auto Make
Model
Color
Year
License Tag #
State

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