CREDITINFORMATION Pleaselistallyourfinancialobligations
NameofBankorSavings&Loan BranchorAddress AccountNo. Balance
Checking $
Sav ings $
CreditAccounts AccountNo. Address/City Phone Balance DueMonthly
GENERALINFORMATIONCheckanswerthatapplies
§ Doyousmoke? YES NO
§ Doyouhaveanypets? YES NO
§ Haveyoueverfiledforbankruptcy? YES NO
§ Doyouhaveanymusicalinstruments? YES NO
§ Doyouhaveanywaterfilledfurnitureordoyouintendtouse
waterfilledfurnitureintheapartment?
YES NO
§ Haveyoueverbeenconvictedforselling,possessing,
distributingormanufacturingillegaldrugsorconvictedofany
othercrime?
YES NO
§ Haveyoueverbeenevictedfornonpaymentofrentorany
otherreason?
YES NO
Pleaseexplainany“yes”answerstotheabovequesti ons:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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Whyareyouleavingyourcurrentresidence?____________________________________________________
________________________________________________________________________________________
Theapplicantherebyappliestorent/leaseApartment#_________at___________________________
________________________________for$__________permonth,anduponowner’sapprovalagreesto
enterintoaRentalAgreementand/orLeaseandpayallrentandsecuritydepositsrequiredbefore
occupancy.
Anapplicationfeeof$__________isherebysubmittedforthecostofprocessingthisapplication,toobtain
credithistoryandotherbackgroundinformation.
Applicant represents that all information given on this application is true and correct. Applicant hereby
authorizesverificationof allreferences and facts, includingbut notlimited tocurrent andpreviouslandlords
andemployers,andpersonalreferences.Applicantherebyauthorizesowner/agenttoobtainUnlawfulDetainer,
CreditReports, Telechecks,and/orcriminal background reports. Applicant agrees to furnish additionalcredit
and/or personal references upon request. Applicant unders tands that incomplete or incorrect information
provided inthe application may cause adelayinprocessing whichmay result indenial of tenancy.Applicant
hereby waives any claim and releases from liability any person providing or obtaining said verification or
additionalinformation.
Applicant:________________________________________Dat e:____________________________
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