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Which property are you applying for?
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Name of Realtor who showed you the property:
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Desired move-in date:
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Desired lease term:
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Month-to-month
6 month lease
1 year lease
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Name:
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E-mail:
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Phone 1:
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Phone 2:
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Date of birth:
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Social Security #:
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Driver's License #:
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Driver's License State:
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Driver's License Expires:
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Current Address:
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City:
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State:
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Zip:
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How long have you lived at this address?
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Why do you want to move?
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Are you currently renting?
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Yes
No
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If yes, provide landlord's name and phone
number:
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Previous address (if at current address
less than 5 years):
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City:
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State:
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Zip:
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How long have you lived at this address?
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Why did you move?
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Were you renting this property?
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Yes
No
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If yes, provide landlord's name and phone
number:
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Name and relationship of all adult
occupants:
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Name, age and relationship of all occupants
under 18:
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Pets:
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Dog
Cat
Bird
Reptile
Fish
Other
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Describe each pet (name, breed, age, sex
and if spayed/neutered):
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Current Employer:
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Current Employer's Address:
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Position/Title:
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Length of employment:
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Supervisor's name and phone number:
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Gross income (specify
hourly/monthly/annually):
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Other income (specify source):
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Previous Employer (if less than 5 years at
current employer):
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Previous Employer's Address:
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Previous Position/Title:
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Dates of employment:
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Previous supervisor's name and phone number:
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Previous gross income (specify
hourly/monthly/annually):
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Bank #1:
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Address or branch number:
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Account type:
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Checking
Savings
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Account #:
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Will you provide copies of the last 3 bank
statements?
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Yes
No
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Bank #2:
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Address or branch number:
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Account type:
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Checking
Savings
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Account #:
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Will you provide copies of the last 3 bank
statements?
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Yes
No
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Creditor #1:
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Type of credit:
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Auto Loan
Credit Card
Home Mortgage
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Account #:
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Balance:
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Monthly payment:
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Creditor #2:
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Type of credit:
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Auto Loan
Credit Card
Home Mortgage
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Account #:
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Balance:
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Monthly payment:
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Creditor #3:
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Type of credit:
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Auto Loan
Credit Card
Home Mortgage
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Account #:
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Balance:
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Monthly payment:
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List all vehicles (make, model, year,
color, license and state):
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Will there be liquid-filled furniture on
the property?
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Yes
No
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Does any occupant smoke?
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Yes
No
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If yes, list their name(s):
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If any occupant has been a party to an
unlawful detainer action or filed bankruptcy in the last 7 years,
please explain:
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If any occupant has been evicted or had an
eviction notice served on them, please explain:
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If any occupant has ever been
convicted of a misdemeanor or a felony, please explain:
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If any occupant is a current illegal abuser
or addict of a controlled substance, please explain:
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If any occupant has ever been convicted of
the illegal manufacture or distribution of a controlled substance,
please explain:
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Emergency contact (name, relationship,
address, phone number):
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Nearest relative (name, relationship,
address, phone number):
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Reference #1 (name, relationship, address,
phone number):
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How long have you known reference #1?
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Reference #2 (name, relationship, address,
phone number):
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How long have you known reference #2?
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Reference #3 (name, relationship, address,
phone number):
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How long have you known reference #3?
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I certify that all information provided is
true and complete
and I understand that incomplete applications may be rejected without
notice.
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I
agree
I disagree
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I understand that I must provide a
signature affidavit, copies
of my driver's license and social security card for my application to
be processed.
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I
agree
I disagree
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I understand that I must pay a $30
non-refundable fee for my application to be processed. I will
pay the fee by:
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Check
Money Order
PayPal
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I understand that all adult occupants must
fill out a separate application and pay a $30 non-refundable fee.
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I
agree
I disagree
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I understand that if I am approved, the
property will NOT be
taken off the market until the Landlord receives my $500 hold deposit
and ALL parties sign the lease.
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I
agree
I disagree
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I understand that my $500 hold deposit will
be applied to my
total move-in cost and is non-refundable if I cancel the lease for any
reason.
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I
agree
I disagree
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I agree that the balance of my total
move-in cost shall be paid by cash, money order or cashier's check (no
personal checks).
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I
agree
I disagree
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