Veterans Point Please
fax immediately the completed application to (609) 927-2650 XMAS IN SEPTEMBER 2010 WHEN YOU SIGN YOUR LEASE
Rental ApplicationEqual
Housing Opportunity
The undersigned
hereby makes an application to rent the following property:________________________________________________________________
Anticipated move in date:_______________at a monthly rent of $____________
and aSecurity Deposit $_______________
PLEASE TELL US ABOUT YOURSELF
Full
Name:_______________________________________
Marital Status:____________________________________
Military Status:____________________________________
Home Phone:( )_________________________________
Date of Birth:_____________________________________
Social Security #___________________________________
Email
Address:____________________________________
Other Phone (
)________________________________
Co-Applicant Date of Birth__________________________
Social Security #__________________________________
Names and Birth dates of Dependents___________________________________________________________________________________
PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)
Current Address________________________________
Apt #__________City________________________________State_________Zip_________
Month/Year Moved In_______________
Reasons for Leaving________________________________________Rent $_________
Owner/Agent___________________________________ Phone (
)______________
Previous Address(Last 3 Years)___________________________________________________________Phone ( )__________________
PLEASE PROVIDE YOUR CREDIT HISTORY
Have you declared bankruptcy in the past seven (7) Years? Yes_____ No_______
Have you ever been evicted from a rental residence?
Yes_____No_______
Have you had two or more late
rentals payments in the last year? Yes______No______
Have
you ever willfully or intentionally refused to pay rent when due? Yes____No_____
PLEASE PROVIDE
YOUR EMPLOYMENT INFORMATION
You’re
Status______Full Time______Part Time_________Student_________Unemployed_____Employer______________________________________
Dates employed_________________________________
Position________________________________________
Supervisor Name_________________________________
Phone ( )_____________________________________
Salary $________________Per______________________If employed by above for less the 12 months, give name and phone of previous employer:___________________________________________________________________________If you have other source of income that you would like us
to consider,
Please list income, source, and person (banker,employer,etc.) who we may contact for confirmation.
You do not have to reveal alimony, child support, or spouse’s annual income unless you want
us to consider it in this application.
Amount $________________________Source/Contact Name_________________________________________________Phone ( )_____-_______
PLEASE LIST YOUR REFERNCES
Banking Accounts
Name___________
Type of Account______________
Account Number_____________________
PLEASE LIST YOUR REFERENCE OR EMERGANCY CONTACT:
Name_______________________________________
Address_____________________________________
Phone_________________
Relationship___________
Driver’s License:
Your Driver’s License Number_____________ State_____________
Vehicle Information:
Make / Model________________ Year__________________License Plate/State___________________________________
ADDITIONAL
INFORMATION:
Please give any
additional information that might help Owner/Management evaluate this application?______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
____________________________________________________________________________________________
Where we may reach you in regards to this application?Day Phone_______________________Night Phone_______________________
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth
and agree that the rental
is to be payable the first day of each month in advance.. I warrant that all statements
above set forth are true; however, should any statement
made above be a misrepresentation or not a true statement
of facts, all of the deposit will be retained to offset the agents cost, time,
and effort in processing my application. I hereby deposit $___________ as earnest money to be refunded to me if this application is not
accepted
in 3 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit.
When so approved and accepted,
I agree to execute a lease for _________ months before possession is given
and to pay the balance of the security deposit prior to the move in date.
If the application
is not approved or accepted by the owner or agent, The deposit will be refunded, the application hereby
waiving any claim
for damages by reason of non-acceptance which the owner or agent may reject.
I recognize that as part of your procedure for processing my
application, an investigative consumer report may be prepared
whereby information is obtained through personal interviews with others whom
I may be acquainted. This inquiry
includes information as to my character, general reputation, personal characteristics and mode of living
The above information,
to the best of my knowledge, is true and correct.
Please sign X_________________________________________________________________________________________________
Name of applicant
