LEASE APPLICATION

Property Address:

Anticipated Move-in Date:

Monthly Rent:

Security Deposit:

If applicant was referred to Landlord by Real Estate Agent, please provide the following:

Real estate agent name:

Real estate agent phone:

If not referred to us by real estate agent, please share how you were referred to us:
Please selectNewspaperSignInternetOther

Applicant’s name:

Is there a co-applicant?
Please selectYesNo

If yes, co-applicant must submit a separate application

Applicant's former last name:

Applicant's Phone Number:

Applicant's Work Phone:

Applicant's Mobile/Pager:

In State:

Date of Birth:

Height/Weight:

Eye Color/Hair Color:

Marital Status:
Please selectYesNo

Citizenship:
Please selectYesNo

Country:

Emergency Contact

Name:

Address:

Phone:

Email:

Name all other persons who will occupy the Property:

Applicant Current Information

Applicant's Current Address:

Apt. No:

City, State, Zip:

Landlord's Name:

Landlord's Phone:

Date Moved-In:

Move-Out Date:

Rent:

Reason for move:

Applicant's Previous Information

Applicant's Previous Address:

Apt. No:

City, State, Zip:

Previous Landlord's Name:

Previous Landlord's Phone:

Date Moved-In:

Move-Out Date:

Previous Rent:

Previous Reason for move:

Employer Information

Employer Address:

City, State, Zip:

Supervisor's Name:

Supervisor's Phone:

Start Date:

Gross Monthly Income:

Position:

Previous Employer Information

Previous Employer Address:

City, State, Zip:

Previous Supervisor's Name:

Previous Supervisor's Phone:

Employed from:

Vehicle Information

List all vehicles to be parked on the Property:

Pet(s) Information

List all pets to be kept on the Property:

Pets Information Continued:

AUTHORIZATION TO RELEASE INFORMATION RELATED TO A RESIDENTIAL LEASE APPLICANT

Authorization & Representation: Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to: (1) obtain a copy of Applicant's credit report; (2) obtain a criminal background check related to Applicant and any occupant; and (3) verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information. Applicant represents that the statements in this application are true and
complete. Applicant understands that providing false or inaccurate information is grounds for rejection and a breach of any lease.

Notice: Unless agreed otherwise in writing, the Property remains on the market until a lease is signed and Landlord may continue to show the Property to other prospective tenants and accept another offer.

I give my permission:
(1) to my current and former employers to release any information about my employment history and income history to the above-named person;

(2) to my current and former landlords to release any information about my rental history to the above-named person;

(3) to my current and former mortgage lenders on property that I own or have owned to release any information about my mortgage payment history to the above-named person.

(4) to my bank, savings and loan, or credit union to provide a verification of funds that I have on deposit to the abovenamed person; and

(5) to the above-named person to obtain a copy of my consumer report (credit report) from any consumer reporting agency and to obtain background information about me.

Applicant's Signature

Today's Date:

*Required