Rental Application Form

Rental Application Form

Please fill all the blanks Or You can download the form here.

A $20 Nonrefundable Processing Fee (Per adult is required with application)

Application Fee:

Full Name:

Social Security No.


Co-Applicant:

Social Security No.


Date Of Birth:

Co-Applicant Date Of Birth:

Current Phone:


Email:

Co-Applicant Email:

Name and ages of all people who will occupy premises:

Current Address:

How long have you lived at this address?:

Landlord’s Name/Phone:

Amount of rent you are now paying?:

Why are you moving?:


Residence for last 4 years:

(1) Address:

City:

Reason for Leaving:

Landord's Name/Phone:

(2) Address:

City:

Reason for Leaving:

Landord's Name/Phone:

(3) Address:

City:

Reason for Leaving:

Landord's Name/Phone:

(4) Address:

City:

Reason for Leaving:

Landord's Name/Phone:


Place of Work

Name of Business:

Supervisor's Phone:

How long have you worked there?:

Position:

Co-Aplicant Place of Work:

Supervisor's Phone:

How long have you worked there?:

Position:


Income


Applicant's Monthly Net Salary:
$

Monthly Income sources:
Salary WagesCommisionGov't Asst.State Asst.

Tips Other, explain:



Monthly Expenses - (Loan Payments (Installment, revolving, etc.)

(1) Creditor's Name:

Monthly Payment:

Balance Due:

(2) Creditor's Name:

Monthly Payment:

Balance Due:

(3) Creditor's Name:

Monthly Payment:

Balance Due:

(4) Creditor's Name:

Monthly Payment:

Balance Due:

Other Expenses - (alimony, dependent support, etc.)



Savings

What is the total amount you currently have in savings account(s)?

List Banks in which savings accounts are maintained:



Pets


(1) Type/Breed

Sex

Weight(lbs)

Indoor/Outdoor

Name

(2) Type/Breed

Sex

Weight(lbs)

Indoor/Outdoor

Name



Vehicles


(1) Model:

Year:

Color:

License Plate Number(State):

(2) Model:

Year:

Color:

License Plate Number(State):

(3) Model:

Year:

Color:

License Plate Number(State):

Driver's License #(state):

Co-Applicant Driver's License #(state):



List 3 personal references (friends, relatives, etc.)


(1) Name:

Address:

Telephone:

(2) Name:

Address:

Telephone:

(3) Name:

Address:

Telephone:



Questions:

Have you ever been evicted from any tenancy?:YesNo

Have you ever refused to pay rent when due?:YesNo

Do you know of anything that may interrupt your income?:YesNo

Have you ever been convicted of a felony?:YesNo

Have you ever been arrested?:YesNo

Do you have any outstanding debts that have been placed for collection?:YesNo

Does any person moving into the rental unit smoke?:YesNo


EMERGENCY

In Case of Emergency Please Notify:

Name:  

Phone: 

Relation: 

Address: 

Closest Relative or Friend (not including your spouse or roommate): 

Name: 

Phone: 

Address: 


PLEASE READ BEFORE SIGNING

I certify that the above information is true and accurate to the best of my knowledge.

I/we authorize Lakes Property Management LLC or any credit bureau or other investigative agency, employed by Lakes Property Management, to validate any information given on this application and to perform a credit check.

I understand that my security deposit is considered earnest money and that I may lose all of my deposit if I decide not to move in.

Applicant's Signature

Date

Co-Applicant's Signature

Date