BASIC INFORMATION REQUIRED PRIOR REQUESTING AN APPLICATION.

Property Address: __________________________________________________________________________

Anticipated: Move-in Date:____________________________________________________________________

Monthly Rent: $_____________________________________________________________________________

Security Deposit: $__________________________________________________________________________

Initial Lease Term Requested: 1 YEAR LEASE

Applicant's name: (first, middle, last)_____________________________________________________________-

Is there a co-applicant?   ______________________________________________________________________

E-mail___________________________________________

Phone number you can be contacted______________________________________

Mobile/Pager _____________________________________

Soc. Sec. No. __________________________ Driver License No. ___________________in       (state)

Name of all other persons who will occupy the Property:

Name:____________________________________________________________

Relationship:_______________________________________________________

Age:______________________________________________________________

Name:____________________________________________________________

Relationship:_______________________________________________________

Age:______________________________________________________________

Name:_____________________________________________________________

Relationship:________________________________________________________

Age:______________________________________________________________

Name:_____________________________________________________________

Relationship:________________________________________________________

Age:_______________________________________________________________

Gross Monthly Income: $_______________________________________________

Position:____________________________________________________________

Note:

If Applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA,

attorney, or other tax professional.

Describe other income Applicant wants considered:________________________________________________

 

Will any pets (dogs, cats, birds, reptiles, fish, and other pets) be kept on the Property?

 yes

 no

Is there additional information Applicant wants considered?___________________________________________

__________________________________________________________________________________________