RESIDENTIAL LEASE APPLICATION

Each occupant and co-applicant 18 years or older must submit a separate application.

Property Address

Intended Move-in Date

Monthly Rent

Security Deposit

Initial Lease Term(mths)

Applicant requests Landlord consider the follwing repairs or treatments should Applicant and Landlord enter into a lease

Referring Agent (if any)

Agent ID

Agent Phone

Agent Email

Applicant's name

E-mail

Home Phone

Work Phone

Mobile/Pager

Soc. Sec. No.

Driver License No.

in (state)

Date of Birth

Height

Weight

Eye Color

Hair Color

Marital Status

Citizenship (country)

Name all other persons who will occupy the Property:

Name

Relationship

Age

Name

Relationship

Age

Name

Relationship

Age

Name

Relationship

Age

Applicant's Current Address

Landlord/Property Manager

Email

Phone

Date Moved-In

Move-Out Date

Rent $

Reason for move

Applicant's Previous Address

Landlord/Property Manager

Email

Phone

Date Moved-In

Move-Out Date

Rent $

Reason for move

Applicant's Current Employer

Address

Supervisor's Name

Phone

E-mail

Start Date

Gross Monthly Income

Position

Applicant's Previous Employer

Address

Supervisor's Name

Phone

E-mail

Beginning Date

Ending Date

Gross Monthly Income

Position

Describe other income Applicant wants considered

List all vehicles to be parked on the Property

(Type, Year, Make, Model, License Plate No./State, Mo.Pymnt.)

List all pets to be kept on the Property: (Type, breed, name, color, weight, age, gender)

Will any waterbeds or water-filled furniture be on the Property?

Does anyone who will occupy the Property smoke?

Will Applicant maintain renter's insurance?

Is Applicant or Applicant's spouse, even if separated, in military?

If yes, is the military person serving under orders limiting the military person's stay to one year or less?

Has Applicant ever:

been evicted?
been asked to move out by a landlord?
breached a lease or rental agreement?
filed for bankruptcy?
lost property in a foreclosure?
had any credit problems, including any outstanding debt (e.g., student loans or medical bills), slow-pays or delinquencies?
been convicted of a crime? If yes, provide the location, year, and type of conviction below.

Is any occupant a registered sex offender? If yes, provide the location, year, and type of conviction below.

Is there additional information Applicant wants considered?

Additional comments

Authorization: Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to:

(1) obtain a copy of Applicant's credit report;
(2) obtain a criminal background check related to Applicant and any occupant; and
(3) verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer. Privacy Policy: Landlord’s agent or property manager maintains a privacy policy that is available upon request. Fees: Applicant submits a non-refundable fee of $60 for processing and reviewing this application.

Acknowledgement & Representation:

(1) Signing this application indicates that Applicant has had the opportunity to review Landlord’s tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
(2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
(3) Applicant represents that the statements in this application are true and complete.

I give my permission for landlord and landlord's agent:

(1) to contact my current and former employers to release any information about my employment history and income history to the above-named person;
(2) to contact my current and former landlords to release any information about my rental history to the above- named person;
(3) to contact my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person;
(4) to contact my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the above-named person;
(5) to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.

Date 01/15/2025

Applicant's Signature

Type the following letters