REQUESTED DATE OF POSSESSION AND/OR MOVE-IN DATE

FOR PROPERTY AT

Date received

FOR SECURITY PURPOSES our office policy requires an application to be completed PRIOR to making an appointment to show the interior of a property. We do not allow strangers into occupied properties. After viewing the property and the applicant wishes for our office to process the application, there will be a $25.00 per adult (18 years and older) credit check fee. This fee must be paid prior to processing the application. Applicant will receive a copy of the credit report. Prop. Mgr. Will also do a trace on social security number to see if anyone else is using the number. Applicant will be notified.

APPLICANT: Drivers License #

Current Address  City State Zip

Telephone/Message NumberDate of Birth SS#

Current Landlord or Manager (Circle one) Telephone How long?

Rent/Mortgage amount paying: Reason for moving

Was 30-day notice given? If not, why?

Previous Address City State Zip

Previous Landlord or Manager (Circle one) Telephone How long?

Next Previous Address City State Zip

Previous  Landlord or Manager (Circle one) Telephone Dates of Residency?

Have you ever been evicted or asked to move? Have you ever filed bankruptcy?

If so, what year? Will you have pets? Describe

Please list all proposed occupants:

Applicant’s Occupation Employer’s Name

__________________________________________________________________________________________
Employer’s Address City State Zip

Employer's Phone

NET monthly income: Other income: Source

If employed less than two years, previous employer:

Company Name Phone

Address City State Zip

Car: Make, Model, YearLicense#

Car: Make, Model, YearLicense#

Please list TWO PERSONAL references (names, addresses, telephone numbers)

1.

2.

In case of EMERGENCY, please notify (names, addresses, telephone numbers)

1.

2.

Bank Information:

Name Address Checking Acct. #

Name Address Savings Acct. #

I declare that the statements given above and on the reverse side of this form are true and correct and I hereby authorize verification of any and all facts and references and a credit check.

Date: Applicant’s signature

ADDITIONAL FACTS OR INFORMATION

Will you have liquid filled furniture (Describe if yes)?