Lease Application

Property Address
Requested Move-in/ Lease Length

Personal Information

Applicant Name
DOB / /
SS# - -
Cell Phone Number
Work Number
Email Address
Mailing Address
Present Physical Address
How long did you live here? # of years # of months
Reason for leaving
Present Landlord Name Landlord Phone
Rent Amount Is your present rent up to date? YesNo
Previous Physical Address
How long did you live here? # of years # of months
Reason for leaving
Previous Landlord Name Landlord Phone
Rent Amount Is your previous rent up to date? YesNo
Next Previous Physical Address
How long did you live here? # of years # of months
Reason for leaving
Next Previous Landlord Name Landlord Phone
Rent Amount Is your next/previous rent up to date? YesNo

Proposed Occupants

Name Relationship Age
Name Relationship Age
Name Relationship Age
Vehicle Information
Year Make Model Color Plate# State
Year Make Model Color Plate# State

Proposed Pets

Name Type/Breed IndoorOutdoor Age
Name Type/Breed IndoorOutdoor Age

Employment Information

Current Employer Occupation Hours per week
Supervisor Phone Years employed
Address
Current Employer Occupation Hours per week
Supervisor Phone Years employed
Address
Additional Employment

Income

Current Income Paid WeeklyBiWeeklyMonthlyYearly Proof YesNo
Current Income Paid WeeklyBiWeeklyMonthlyYearly Proof YesNo

Personal References

Please list two non-relatives and preferably those who have been to your home.
Name Phone Relationship
Name Phone Relationship
Emergency Contact
Name Phone Relationship
Address

Applicant Questionnaire

Have you ever been sued for bills? YesNo
Have you ever been evicted? YesNo
Have you ever been bankrupt? YesNo
Have you ever been brought to court for any reason? YesNo
Have you ever been guilty of a felony? YesNo
Have you ever moved owing rent or had damage to a property? YesNo
Have you ever broken a lease? YesNo
Is the total move in amount available now? YesNo
Are you a current illegal abuser or addict of a controlled substance? YesNo
Do you hold a Medical Marijuana card? YesNo