APPLICATION FOR RENTAL
(PAGE 1 OF 2)
Application for Rental (EPM) v1 Page 1 of 2 Revised 09/19/06
EQUAL HOUSING
OPPORTUNITY
Tell Us About Yourself (use additional sheets if necessary)
FIRST NAME
MIDDLE NAME
LAST NAME
SOCIAL SECURITY # OR INDIVIDUAL TAXPAYER ID #
DRIVER’S LICENSE # OR STATE ISSUED ID #
STATE OF ISSUANCE
U.S. CITIZEN? YES NO
IF NO, COMPLETE SUPPLEMENTAL
APPLICATION
DATE OF BIRTH
OTHER NAMES USED IN LAST 10 YEARS
EMAIL ADDRESS
APPLICANT’S PRESENT ADDRESS
COUNTY
WORK TELEPHONE #
CITY
STATE
ZIP
HOME TELEPHONE #
MOBILE TELEPHONE #
LIST ALL OTHER PERSONS TO OCCUPY APARTMENT, INCLUDING DATE OF BIRTH (if 18 years or older, must fill out application as an applicant)
NAME DATE OF BIRTH
NAME DATE OF BIRTH
NAME DATE OF BIRTH
NAME DATE OF BIRTH
PRESENT ADDRESS IS (Check one):
OWN HOME PARENTS’ HOME RENTED HOME RENTED APARTMENT STUDENT HOUSING OTHER:
IF RENTING: PRESENT LANDLORD OR APARTMENT COMMUNITY / IF OWNED: NAME OF MORTGAGE COMPANY
FROM: TO:
ADDRESS OF PRESENT LANDLORD / APARTMENT COMMUNITY / MORTGAGE COMPANY
CITY
STATE
ZIP
TELEPHONE #
MONTHLY PAYMENT
HOW LONG?
ANTICIPATED MOVE-OUT DATE:
REASON FOR LEAVING:
APPLICANT’S PREVIOUS ADDRESS (IF LESS THAN TWO YEARS AT PRESENT ADDRESS) (Check one):
OWN HOME PARENTS’ HOME RENTED HOME RENTED APARTMENT STUDENT HOUSING OTHER:
IF RENTING: PREVIOUS LANDLORD OR APARTMENT COMMUNITY / IF OWNED: NAME OF MORTGAGE COMPANY
FROM: TO:
ADDRESS OF PREVIOUS LANDLORD / APARTMENT COMMUNITY / MORTGAGE COMPANY
COUNTY WHERE RESIDENCE LOCATED
CITY
STATE
ZIP
TELEPHONE #
MONTHLY PAYMENT
HOW LONG?
MOVE-OUT DATE:
REASON FOR LEAVING:
HAVE YOU LIVED IN AN EPM RESIDENTIAL COMMUNITY
BEFORE? YES NO
IF YES, WHICH ONE (Include city and/or state)?
FROM: TO:
Employment
EMPLOYER
MONTHLY GROSS INCOME
ADDRESS
CITY
STATE
ZIP
TYPE OF WORK
POSITION HELD
INDUSTRY:
SUPERVISOR
SUPERVISOR’S TELEPHONE #
HOW LONG?
MILES TO WORK
OTHER SOURCE(S) OF INCOME
WHEN RECEIVED
AMOUNT
MONTHLY INCOME FROM OTHER SOURCES
FORMER EMPLOYER (IF LESS THAN TWO YEARS AT CURRENT JOB)
ADDRESS
CITY
STATE
ZIP
TYPE OF WORK
POSITION HELD
INDUSTRY:
SUPERVISOR
SUPERVISOR’S TELEPHONE #
HOW LONG?
Motor Vehicles (including cars, trucks, boats, motorcycles):
MAKE/MODEL YEAR COLOR LICENSE PLATE # STATE
1.
2.
3.
Pets (keeping of pets requires Lessor’s consent)
BREED NAME WEIGHT/HEIGHT AGE
1.
2.
Print Form
APPLICATION FOR RENTAL
(PAGE 2 OF 2)
Application for Rental (EPM) v1 Page 2 of 2 Revised 09/19/06
EQUAL HOUSING
OPPORTUNITY
Personal References
NAME OF NEAREST RELATIVE
RELATIONSHIP
ADDRESS
CITY
STATE
ZIP
TELEPHONE #
NAME OF PERSONAL REFERENCE
RELATIONSHIP
ADDRESS
CITY
STATE
ZIP
TELEPHONE #
Criminal Background Information
Do you or do any of your occupants have charges pending against you or against them for any criminal offense(s)? Applicant Yes No Occupants Yes No
Have you or have any of your occupants ever been convicted of, or pleaded guilty or no contest to, any criminal offense(s)
or had any criminal offense(s) disposed of other than by acquittal or a finding of “not guilty”?
Applicant Yes No Occupants Yes No
Any litigation, such as: evictions, suits, judgments, bankruptcies, foreclosures, etc.? Applicant Yes No Occupants Yes No
If “Yes” to any of the above questions, give details and dates:
How did you hear about our community? Internet (which site?)
Walk-By Rental Publication (Which One?) Rental Agency (Which One?)
Locator Service (Which One?) _ Other
PLEASE READ CAREFULLY AND SIGN BELOW
Correct Information--Applicant represents that all of the above statements are true and complete. Applicant hereby authorizes Property Staff to contact any
references listed above and to obtain consumer reports, which may include criminal background information, about Applicant and any occupants in the apartment
in order to verify the above information, references, credit and criminal records. Applicant further authorizes Property Staff to obtain subsequent consumer reports
to ensure that Applicant continues to satisfy the terms of the tenancy, for the collection and recovery of any financial obligations relating to Applicant’s tenancy, or
for any other permissible purpose. Applicant hereby releases from all liability or responsibility all persons and corporations requesting or supplying such
information. Applicant acknowledges that false, incomplete or misleading information herein may constitute grounds for rejection of this application, termination of
right of occupancy of all occupants under a lease and/or forfeiture of deposits and fees, and may constitute a criminal offense under the laws of this State. This
Application is preliminary only and does not obligate Owner or Owner’s agent to execute a Lease or to deliver possession of the dwelling unit to Applicant.
I have read and agree to the provisions as stated.
Applicant Signature
Date
Application Processing Fee
required with Application: $
Total Holding Deposit Per Apartment (if any): $
(Holding Deposit Agreement required)
OFFICE USE ONLY
Apartment Number
Apartment Size/Description
Anticipated Move-in Date
Lease Start Date
Lease End Date
Monthly Apartment Rent
Property Staff Initials _____________
click to sign
signature
click to edit