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This section to be completed by landlordAddress of Property to Be Rented: _Rental Term: [ ] month to month [ ] lease from to _Amounts Due Prior to Occupancy: First month's rent$ _
ApplicantFull Name-include all names you use(d): _Home Phone: Work Phone: Cell Phone: _Email: FAX: _(by providing this fax number I agree to receive facsimile advertisements from the landlord or management company.)
Additional Occupants: List everyone, including children, who will live with you.Full Name Relationship to Applicant
Rental History: First-time renters: attach a description of your housing situation for the past five years.Current Address: Dates Lived at Address: _Reason for Leaving: LandlordIManager: --'- _Landlord/Manager's Phone: Rent: $ Security Deposit: $ _
PreviousAddress: Dates Lived at Address:------------Reason for Leaving: LandlordIManager: _LandlordIManager's Phone: Rent: $ Security Deposit: $ _
Previous Address: Dates Lived at Address:------------Reason for Leaving: LandlordIManager: _LandlordIManager's Phone: Rent: $ Security Deposit: $ _
Employment History: Self-employed applicants: attach tax returns for the past two years.
Name andAddress of Current Employer: '--- _Phone: Name of Supervisor: Supervisor'sPhone: _Dates Employed at This Job: Position or Title: ~ _Name andAddress of Previous Employer: _
Phone: Name of Supervisor: Supervisor's Phone: _Dates Employed at This Job: Position or Title: _Attach pay stubs for the past two years, from this employer or prior employers, LF213P Rental Application 10·08
Income: 1.Your gross monthly employment income (before deductions):2. Averagemonthly amounts of other income (specify sources):
Bank/Financial Accounts Account Number Bankllnstitution BranchSavingsAccountCheckingAccount .Money Market or Similar Account ~ _
Credit Card AccountsMajor Credit Card: [ ] VISA [ ] Me [ [Discover Card [ [Am Ex [] Other: Balance: $ _
Issuer: Account No.: AverageMonthly Payment: $ _
Major CreditCard: [ ] VISA [ ]MC [] Discover Card [ ] Am Ex~[ ] Other: Balance: $ _
Issuer: Account No.: AverageMonthly Payment: $ _
LoansType of Loan(mortgage, car, student loan, etc.)
Name of Creditor . Account Number Amount Owed Monthly Payment
Other Major ObligationsType Payee Amount Owed Monthly Payment
MiscellaneousDescribe the number and type of pets you want to nave in the rental property: _Describe water-filled furniture you want to have in the rentalproperty: _
Do you smoke? [] yes []no Have you ever: Filed for bankruptcy? [] yes [] no How many times _Been sued? [] yes [] no How many times Sued someone else? [ ] yes [] no How many times _Been evicted?' [ ) yes [] no How many times Been convicted of a crime? [ ] yes [ ] no How many times _Explain any "yes" listed above: _
Admess: ~ ~----------------------Contact in Emergency: Relationship: Phone: _Address: _
Source: Where did you learn of this vacancy? ~~ _
I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I havemade any material false or incomplete statements in this application. I authorize verification of the information provided in this application frommy credit sources, current and previous landlords and employers; and personal references. I give permission for the landlord or its agent to obtaina consumer report about me for the purpose of this application, to.ensure that I continue to meet the terms of the tenancy, for the collection andrecovery of an>:financial obligations relating to my tenancy, or for any other permissible purpose.