APPLICATION FOR RESIDENCY |
| COMMUNITY:
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DATE:
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APPLICANT INFORMATION
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FULL NAME (LAST)
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(FIRST)
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(MI)
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DATE OF BIRTH
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| EMAIL ADDRESS: |
| SOCIAL SECURITY NUMBER
SEX
MARITAL STATUS
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| DRIVER'S LICENSE NUMBER
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| LIST OTHER PEOPLE TO LIVE IN THE APARTMENT |
| Name |
soc. sec# |
Relationship |
Date Of Birth |
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| VEHICLES |
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Year:
Make:
Model:
Color:
Tag:
State:
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Year:
Make:
Model:
Color:
Tag:
State:
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| PRESENT ADDRESS |
Street
Apt#
City
State
Zip
Phone
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Rent or Own
Dates: From
To
Monthly Payment $
|
Landlord' Name
Landlord's Phone Number
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Address Of Landlord
City
State
Zip
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| PREVIOUS ADDRESS |
Street
Apt#
City
State
Zip
Phone
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| Rent or Own
Dates: From
To
Monthly Payment $
|
| Landlord' Name
Landlord's Phone Number
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Address Of Landlord
City
State
Zip
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| CURRENT EMPLOYER |
| Company Name
Phone
|
| Address
City
State
Zip
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Supervisor
Hire Date
Position
Salary $
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| PREVIOUS EMPLOYER |
| Company Name
Phone
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| Address
City
State
Zip
|
| Supervisor
Length of Employment
Position
Salary $
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| Have you ever been evicted from a residence for non payment of rent? No
Yes
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| If Yes, when?
Landlord's Name
Phone
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| Have you ever been convicted of a misdomeanor or felony involving a crime against a person? No
Yes
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| If Yes, which state
and county
? |
| Have you been convicted of a felony in the last 10 years? No
Yes
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If Yes, which state
and county
? |
| Other Income |
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Type Of Income |
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Source |
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Gross Annual Amount |
| 1.
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| 2.
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EMERGENCY CONTACT (NOT LIVING WITH YOU) |
| Name
Relationship to You
Phone
|
| Address
City
State
Zip
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| Pet Information |
Type of Pet
Breed
Name
Age
Color
Mature Weight
NOTE: Keeping a pet requires consent of management, payment of applicable fees/deposits and execution of Pet Addendum. Assisted animals used for disabilities are not considered pets. |
The Civil Rights Act of 1968, as amended by the Fair Housing Amendments Act of 1988, prohibits discrimination in the rental of housing based on race, color, religion, sex, handicap, familial status or national origin. The Federal Agency which administers compliance with this law is the U.S. Department of Housing and Urban Development.
THE APPLICANT REPRESENTS THAT ALL OF THE ABOVE STATEMENTS ARE TRUE AND CORRECT AND HEREBY AUTHORIZES VERIFICATION OF THE ABOVE INFORMATION, REFERENCES, AND CREDIT RECORDS. |
APPLICATION FEE:
THE SUM OF $50.00 HAS BEEN GIVEN AS A NON-REFUNDABLE APPLICATION FEE TO THE LANDLORD FOR COSTS AND EXPENSES IN CHECKING THE APPLICANT'S CREDIT, CRIMINAL BACKGROUND AND RENTAL HISTORY APPLICANT ACKNOWLEDGES THAT FALSE INFORMATION HEREIN MAY CONSTITUTE GROUNDS FOR REJECTION OF THIS APPLICATION, TERMINATION OF RIGHT OF OCCUPANCY AND/OR FORFEITURE OF THE HOLDING FEE AND MAY CONSTITUTE A CRIMINAL OFFENSE UNDER THE LAWS OF THIS STATE.
DEPOSIT AGREEMENT:
APPLICANT HAS DEPOSITED $
IN CONSIDERATION FOR OWNER'S TAKING THE DWELLING UNIT OFF THE MARKET WHILE CONSIDERING APPROVAL OF THIS APPLICATION. IF APPLICANT IS APPROVED BUT FAILS TO ENTER THE LEASE, THE HOLDING FEE SHALL BE FORFEITED TO OWNER. THE HOLDING FEE WILL BE REFUNDED ONLY IF APPLICANT IS NOT APPROVED.
APPLICANT AGREES TO PROVIDE ALL NECESSARY INFORMATION ABOUT BANK ACCOUNTS, CURRENT AND PREVIOUS LANDLORD, AND INCOME WITHIN 72 HOURS FROM THE DATE THE APPLICATION WAS SUBMITTED TO THE RENTAL OFFICE. FAILURE TO FURNISH THE REQUIRED INFORMATION WITHIN 72 HOURS WILL RESULT IN THE ASSIGNED UNIT BEING PLACED BACK ON THE AVAILABLE MARKET AND THE HOLDING FEE WILL BE FORFEITED BY THE APPLICANT TO THE OWNER.
KEYS WILL BE FURNISHED ONLY AFTER LEASE AND OTHER RENTAL DOCUMENTS HAVE BEEN PROPERLY EXECUTED BY ALL PARTIES AND ONLY AFTER APPLICABLE RENTS AND SECURITY DEPOSITS HAVE BEEN PAID. THE APPLICATION IS PRELIMINARY ONLY AND DOES NOT OBLIGATE OWNER OR OWNER'S AGENT TO EXECUTE A LEASE OR DELIVER POSSESSION OF THE PROPOSED PREMISES.
FAILURE TO TAKE POSSESSION:
IF APPLICANT FAILS TO TAKE POSSESSION OF THE DWELLING UNIT ON THE SCHEDULED MOVE-IN DATE AND REQUESTS A NEW MOVE-IN DATE, A $50.00 NON-REFUNDABLE FEE WILL BE CHARGED AND MUST BE PAID BEFORE A NEW DATE WILL BE SCHEDULED. APPLICANT'S FAILURE TO OCCUPY THE DWELLING UNIT ON THE RESCHEDULED DATE WILL RELEASE THE LANDLORD FROM ANY AND ALL OBLIGATION TO PROVIDE A VACANT UNIT TO THE APPLICANT. FURTHERMORE, THE ASSIGNED UNIT WILL BE PLACED BACK ON THE AVAILABLE MARKET AND ALL DEPOSITS AND HOLDING FEES WILL BE FORFEITED BY APPLICANT TO OWNER. |
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APPLICANT'S SIGNATURE
DATE:
APPLICANT'S SIGNATURE DATE:
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* * * * * * * * * * * * * * * * *FOR OFFICIAL USE ONLY * * * * * * * * * * * * * * * * *
LEASING CONSULTANT MUST FILL IN THIS SECTION:
APARTMENT NUMBER:____________________ UNIT TYPE:_____________________ SCHEDULED MOVE-IN DATE:_______________________
MONTHLY RENT (RENT ONLY):__________________ MOVE-IN SPECIAL:________________________ LEASE TERM:_______________________
CABLE FEE:_________ ACCESS CARD(S):_________ PET FEE:_________ PET RENT:_________ TOTAL RENT: _________
APP. FEE REQUIRED:___________________ APP. FEE PAID:___________________ APP. FEE BAL.:____________________
SEC. .DEP. REQUIRED:___________________ SEC. DEP. PAID:___________________ SEC. DEP. BAL:____________________
PRORATED RENT DUE:__________________ PRORATE PAID:___________________ PRORATE BAL:____________________
FIRST MONTHS RENT:__________________ FIRST MO. PAID:___________________ FIRST MO. BAL:____________________
TOTAL AMOUNT DUE:___________________ TOTAL AMT. PAID:__________________ TOTAL DUE AT M/I__________________
LEASING CONSULTANT:_________________________________________________________________________ DATE:____________________
DATE OF CREDIT REPORT:______________ IDENTIFICATION NUMBER:_______________ COMPLETED BY:___________________________
APPROVED / REJECTED MANAGER'S SIGNATURE:_____________________________________DATE:_____________
ADDITIONAL DEPOSIT: Yes Or No AMOUNT: _____________________________________
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