Rental Application

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RENTAL APPLICATION
1. A non-refundable application fee of $____ per applicant is required when an application is submitted. All individuals
age 18 or over that intend to reside in the property must apply.
2. The applicant must provide their photo ID and proof of social security number before a showing.
3. The applicant must complete the application in full. Put N/A in any areas that do not apply.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.
4. A hold deposit equal to one month’s rent must be paid in full to hold a rental unit. A hold deposit is non-refundable 3
days after approval. NO UNIT WILL BE HELD WITHOUT A DEPOSIT.
5. The lease must be signed within ___ days of approval, or the hold deposit will be forfeited.
APPLICANT INFORMATION
Full Name _____________________________________
Is applicant at least 18 years old?
c Yes c No
Social Security Number __________________________
Date of Birth _________________________________
Driver’s License / ID No. _________________________
State _______________________________________
Home Phone ____________________ Work Phone ____________________ Cell Phone ____________________
Bank/Credit Union_________________________Account #___________________Account Type______________
Emergency Contact ______________________________ Relationship _________________ Phone ____________
continued on seperate paper c
RESIDENIAL INFORMATION
(two year history)
Current Address ___________________________________________________________
c Own
c Rent
From ________________________
to ______________________
Rent/mortgage $ _______________ /month
Landlord/Mortgage Co. Name _______________________________________ Phone______________________
Prior Address _____________________________________________________________
c Own
c Rent
From ________________________
to ______________________
Rent/mortgage $ _______________ /month
Landlord/Mortgage Co. Name _______________________________________ Phone______________________
continued on seperate paper c
EMPLOYMENT INFORMATION
(two year history)
Employer ________________________________________ Position ___________________________________
Address ______________________________________________________________________________________
Phone __________________________________________ Supervisor __________________________________
Gross Income $ ______________ /mo. OR $ _____________ /hour for __________ hours per week on average
Employed From ______________________
To ____________________
Previous Employer ________________________________ Position ___________________________________
Address ______________________________________________________________________________________
Phone __________________________________________ Supervisor __________________________________
Gross Income $ ______________ /mo. OR $ _____________ /hour for __________ hours per week on average
Employed From ______________________
To ____________________
continued on seperate paper c
OTHER INCOME
Alimony, child support, or separated maintenance income need not be revealed if Applicant does not wish to have it considered as a basis for paying this obligation.
Source ____________________________________________________________ Amount __________________
Source ____________________________________________________________ Amount __________________
Applicant Initials ____________________Date________________
LPM 106a-042011

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