Applicant NON-REFUNDABLE APPLICATION FEE $25.00 Date MM DD YYYY Desired Date of Occupancy MM DD YYYY Name * First Name Last Name Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Social Security # * Email * Driver's License #/State * Expiration Date MM DD YYYY Present Landlord Name Address, City, State, Zip Code How long at this address Phone # Previous Landlord Name Address, City, State, Zip Code How long at this address Phone Present Employer Date Employed * MM DD YYYY Position Supervisor Name and Number Income * Please upload proof of income Previous Employer if employed less than 12 months Date of Employment MM DD YYYY Last Date of Employment MM DD YYYY Supervisor Name and Number * Income * Proof of Income Emergency Contact Name * Address, City, State, Zip Code Phone Have you ever filed for bankruptcy? If yes, when. Have you ever been convicted of a felony? If yes, when & Why. Agreement & Consent to Background & Credit Check I believe that the statements I have made are true and correct. I hereby authorized the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history, and all Unlawful Detainers. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or in part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund. Signature Thank you! Co-Applicant Date MM DD YYYY Desired Date of Occupancy MM DD YYYY Name * First Name Last Name Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Social Security # * Email * Driver's License #/State * Expiration Date MM DD YYYY Present Landlord Name Address, City, State, Zip Code How long at this address Phone # Previous Landlord Name Address, City, State, Zip Code How long at this address Phone Present Employer Date Employed * MM DD YYYY Position Supervisor Name and Number Income * Please upload proof of income Previous Employer if employed less than 12 months Date of Employment MM DD YYYY Date Last Date of Employment MM DD YYYY Supervisor Name and Number * Income * Proof of Income Emergency Contact Name * Address, City, State, Zip Code Phone Have you ever filed for bankruptcy? If yes, when. Have you ever been convicted of a felony? If yes, when & Why. Agreement & Consent to Background & Credit Check I believe that the statements I have made are true and correct. I hereby authorized the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history, and all Unlawful Detainers. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for a home or apartment and does not constitute a rental or lease agreement in whole or in part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund. Signature Thank you!
