Apply for Apartments

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Apartment Application

Please complete the form below

Application Date

YYYY

Address Applied For

Monthly Rent

Lease Term

Lease Start Date

YYYY

Name

First Name

Last Name

Phone

(###)

###

####

SSN

xxx-xx-xxxx

Date of Birth

YYYY

Drivers License #

Please include state first ex - OH #1234567

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Lease Start Date

YYYY

Lease End Date

YYYY

Monthly Rent

Landlord Name

Landlord Phone Number

(###)

###

####

Reason for Leaving

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Lease Start Date

YYYY

Lease End Date

YYYY

Monthly Rent

Landlord Name

Landlord Phone Number

(###)

###

####

Reason for leaving

Employment Information

Employer

Occupation

Start Date

YYYY

Supervisor Name & Title

Supervisor Phone Number

(###)

###

####

Annual Salary

Other Income

Source of Other Income

References

Business References

Name of Business Reference

First Name

Last Name

Address for Business Reference

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone for Business Reference

(###)

###

####

Personal References

Name for Personal Reference

First Name

Last Name

Address for Personal Reference

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone for Personal Reference

(###)

###

####

Banking References

Name of Banking Reference

First Name

Last Name

Address of Banking Reference

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone of Banking Reference

(###)

###

####

Emergency Contacts

Name of Contact 1

First Name

Last Name

Relationship of Contact 1

Address of Contact 1

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone of Contact 1

(###)

###

####

Name of Contact 2

First Name

Last Name

Relationship of Contact 2

Address of Contact 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone of Contact 2

(###)

###

####

Vehicle Information

Year

Make

Model

Color

Plate #

Pets

Type of Animal

Breed

Sex

Color

Size

Other Occupants

Over 18 other occupants

List Names and Birthday of all additional occupants 18 years and older

Under 18 other occupants

List Names and Birthday of all additional occupants 18 years or younger

Confirmation

Following Terms

I warrant that all statements contained in this application are true and accurate and that | have not knowingly withheld any information which would, if disclosed, affect my application unfavorably. I hereby provide the owner or its authorized agent with my consent to communicate with my current and former landlords, as well as my current employer(s) for the purpose of, among other things, verifying the information listed herein. | am aware that a credit history, eviction search, and criminal background check may be conducted in conjunction with my application. Any person or firm is authorized to release information pertaining to my credit history or suitability as a tenant upon presentation of this form or a photocopy of this form. It is understood that any processing fee associated with this application is non-refundable, but that any security deposit received from me will be refunded if my application is not approved.

Yes

Typed Signature

Date

YYYY