I,
(WE)________________________________, apply for approval for a lease and
state that the following information is true and correct:
1.
APPLICANT’S NAME: ___________________________________________________
Social
Security Number:_______________________Date of
Birth:____________________
2.
CO-APPLICANT’S NAME: _______________________________________________
Social
Security Number:_______________________Date of
Birth:_____________________
EMAIL ADDRESS:
____________________________________________
3.
ALL OTHER
PEOPLE THAT WILL BE IN UNIT:
Name:_________________Social
Security #_______________Date of Birth_____________
Name:_________________Social Security #_______________Date of
Birth_____________
Name:_________________Social Security #_______________Date of
Birth_____________
4.
NUMBER OF CARS _________________
Driver
#1 License #______________, Make ______________, Model__________________
Year______________License
Plate No. _________________, State ___________________
Driver
#2 License #_______________, Make______________, Model__________________
Year______________License
Plate No.__________________, State___________________
5.
TENANT’S
PRESENT RESIDENCE (PLEASE LIST 2 YRS OF RESIDENCE)
Address________________________City_________________State______Zip___________
Applicant’s
Telephone #_______________where I have lived for ________years and which
I own_______________ or
rent_______________at $_____________________per Month.
Present
Landlord______________________ Telephone____________________________
TENANT’S
PRIOR RESIDENCE
Address
______________________City___________________State______Zip__________
where I lived for________years
and which I owned______________ or
rented_______________ at
$_____________________per Month.
Landlord_____________________________Telephone_____________________________
6.
IN CASE OF EMERGENCY, LIST TWO (2) PEOPLE, THAT WE COULD CONTACT:
Name:______________________________
Telephone:______________________________
Address:____________________________
Relationship:____________________________
Name:______________________________
Telephone:______________________________
Address:____________________________
Relationship:____________________________
7.
APPLICANT’S CURRENT EMPLOYER OR OTHER INCOME IS:_________________
Telephone
Number_______________________Supervisor___________________________
Address:_______________________________City_____________State_______Zip______
Position:__________________How
Long Employed_____Years____Months
Weekly
Income Gross:________________________
CO-APPLICANT’S
EMPLOYER OR OTHER INCOME IS:_________________________
Telephone
Number____________________Supervisor____________________________
Address:_______________________________City____________State________Zip______
Position:_________________How
Long Employed_________Years___________Months
Weekly
Income Gross:______________________
Have
you ever been filed at a District Magistrate’s Office for not paying
rent or for being late in paying rent to your landlord?_____If yes,
Please explain.____________________
Have
you ever broken a lease or been evicted for any type of
housing?______________
If
yes, Please explain (use any additional sheet if
necessary)_______________________
Have
you ever refused to pay or not paid any rent when rent was
due?______________
If
yes, Please explain (Use any additional sheet if
necessary)_______________________