Rental Application (Page 2 of 2) in pdf

Are you a college student: _______________________ Full-time or Part-Time _________________________

Graduate or undergraduate: _______________________

If you receive financial aid, grants, or scholarships, please indicate the source and the amount that is provided

for housing (you must also submit documentation)________________________________________________

FINANCIAL INFORMATION:

Bank Name: ________________________________ Bank Location: ________________________________

Additional Income not listed elsewhere: ________________________________________________________

Have you ever filed bankruptcy: ___________ If yes, provide details: _______________________________

OTHER INFORMATION:

Emergency Contact Name: ____________________________ Relationship: __________________________

Emergency Contact Address: __________________________________ Phone Number: _________________

Co-signer Name: __________________________________________________________________________

Relationship: __________________________ Phone Number: _____________________________________

Co-signer Address: ________________________________ City/State/Zip: ___________________________

How were you referred to us? _____ Apartment Guide; ______Indiana Daily Student; ______ Local Paper

_____ Radio; ______ Friends; _______Drive-by; _____________________Other (please specify)

Approval of this application is based on the verification of the information provided. Resident MUST have a

co-signer if he/she has not been employed full-time for at least one year. If a co-signer is required, the

application will not be approved until the co-signer’s application is also approved. Failure to provide a co-

signer if required is grounds for eviction. Upon receipt of a pre-deposit, an apartment will be held for the

applicant until the application has been reviewed. If the application is approved, the pre-deposit will be applied

to the security/damage deposit. If the application is not approved, the pre-deposit paid will be returned, and the

rental agreement signed by the applicant will be void.

The undersigned states that the information given in this application is true and correct. The Landlord is

authorized to verify the information and obtain a credit report and/or conduct a criminal and background

investigation in order to approve the application as well as at any time throughout the duration of the lease. The

undersigned agrees that the Landlord may terminate any agreement entered into based upon reliance on any

statements made above which are untrue. Such termination may be made at any time during the lease period.

By signing below, you acknowledge that you have read and accepted the above terms of this application.

_____________________________________________

_____________________________

Signature

Date

_____________________________________________

Printed Name

Rental Application Page 2