APPLICANT Each Applicant over the age of 18 must complete their own application form.

ADDITIONAL OCCUPANTS List everyone, who will live with you:

EMPLOYMENT

RESIDENCE

VEHICLES

PERSONAL REFERENCES

CREDIT INFORMATION Please list all your financial obligations.

GENERAL INFORMATION Check answer that applies - all are required.

Do you smoke?YesNo
Do you have any pets?YesNo
Have you ever filed for bankruptcy?YesNo
Do you have any musical instruments?YesNo
Do you have any water­filled furniture or do you intend to use water filled furniture in the apartment?YesNo
Have you ever been convicted for selling, possessing, distributing or manufacturing illegal drugs or convicted of any other crime?YesNo
Have you ever been evicted for non­payment of rent or any other reason?YesNo

Please explain any “yes” answers to the above questions:

Why are you leaving your current residence?

The applicant hereby applies to rent/lease Apartment #

 
at

 
for per month,

and upon owner’s approval agrees to enter into a Rental Agreement and/or Lease and pay all rent and security deposits required before occupancy.

An application fee of $ is hereby submitted for the cost of processing this application, to obtain credit history and other background information.

Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.

Applicant:

Date:

(Signature required)