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?___________________________________________
__________________________________________________________________________________________
