| Last name |
|
| First name |
|
| Middle
name |
|
| Social Security # |
|
| Driver's Lic/ID # |
|
| State |
|
|
Birthdate (mm/dd/yy) |
|
|
Current address |
|
|
How long? (From-To) |
|
|
Last rent paid
(month) |
|
|
Amount $ |
|
|
Owner/manager name |
|
|
Phone |
|
|
Reason for
leaving |
|
|
Home phone |
|
|
Work
phone |
|
|
Mobile
phone |
|
|
E-mail |
|
| Previous address |
|
| How long? (From-To) |
|
| Last rent paid
(month) |
|
| Amount $ |
|
| Current employment |
| Company name |
|
| Address |
|
| Company phone |
|
| Occupation/position |
|
| Type of
business |
|
| Name of supervisor |
|
| Date of
employment (From-To) |
|
| Monthly gross
salary |
|
| Previous employment |
| Company name |
|
| Address |
|
| Company phone |
|
| Occupation/position |
|
| Type of
business |
|
| Name of supervisor |
|
| Date of
employment (From-To) |
|
| Monthly gross
salary |
|
When do you plan to move-in?
Date
|
|
Applicant represents that statements made are true and correct and hereby authorizes owner's/agent's periodic verification of credit, income and references to include but not limited to credit, unlawful detainer and bounced check checks and agrees to furnish additional credit references on request.
Applicant agrees to pay for said verification via eCheck or Money Order made payable to A & E Real Estate Services, Inc., which check shall accompany this Application.
Such payment is a part of the application process and is a charge for the administrative costs of application consideration.
The undersigned makes application to rent housing accommodations designated as: |
| I hereby apply to rent/lease the property located
at |
|
| for $ per month and upon approval of my Application and signed rental agreement, I agree to pay the first month's rent of $
and a security deposit in the amount of $
. By writing "agreed" in the signature space I sign this Application
on date
Signature |
| List all additional adults and children who will occupy unit. |
| Name |
Age
|
Relationship
|
| Name |
Age
|
Relationship
|
| Name |
Age
|
Relationship
|
| Name |
Age
|
Relationship
|
| Name |
Age
|
Relationship
|
| Name |
Age
|
Relationship
|
| Additional
information |
| 1. Have you ever had any credit problems? |
Yes
No |
| 2. Have you ever
had an unlawful detainer filed against you? |
Yes
No |
| 3. Have you ever been evicted for non-payment of rent or for any other reason? |
Yes No
|
| 4. Have you ever filled for bankruptcy? |
Yes
No |
5. Have you ever obtained credit under a different name or Social Security Number?
|
Yes
No
|
| If Yes, give name and/or number: |
|
| 6. Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs? |
Yes
No |
| 7. Do you have any pets? |
Yes
No |
| If Yes, how many?
Describe: |
|
| 8. Will you be using any water-filled furniture in your residence? |
Yes
No
|
| If Yes, do you have insurance coverage? |
Yes
No |
| 9. Do you have any musical instruments? |
Yes
No
|
| If Yes, what
kind |
|
| 10.Please explain
any "YES" answer: |
|
| Banking
information |
| Name of Bank/S&L/Credit
Union |
|
| Branch |
|
| Address |
|
| Checking acct # |
|
| Approx.
balance |
|
| Savings acct # |
|
| Approx.
balance |
|
| Name of Bank/S&L/Credit
Union |
|
| Branch |
|
| Address |
|
| Checking acct # |
|
| Approx.
balance |
|
| Savings acct # |
|
| Approx.
balance |
|
| Emergency
contact |
| Name |
|
| Address |
|
| Relationship |
|
| Phone |
|
| Vehicles |
| Are you the registered owner? |
Yes
No |
| If not who? |
|
| Year |
|
| Make |
|
| Model |
|
| Color |
|
| License # |
|
| Year |
|
| Make |
|
| Model |
|
| Color |
|
| License # |
|
