Rent Application

First Name *

Last Name *

Email *

Phone Number *

SSN *

Birth Date *

Total # of Occupants

Current Address *

City

Country

State

Zip

Current Landlord/Manager Name

Current Monthly Rent ($)

Current Start Date

Current End Date

Current Reason For Leaving

Current Landlord / Manager Phone

Current Employer Name

Current Address *

City

Country

State

Zip

Current Employer Phone

Current Employment Started

Current Employment Ended

Current Monthly Gross Pay ($)

Current Job Title

Close Friend *

Close Friend's Phone

Nearest Relative Living Elsewhere *

Close Friend's Phone

Employment/Income sources *

Monthly Income *

Pets *

Agreement

Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords and employers, and personal references. Applicant hereby authorizes owner/agent to obtain Unlawful Detainer, Credit Reports, Telechecks, and/or criminal background reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. In the event that a material misstatement or misrepresentation is discovered after Applicant is accepted as a Resident, and whether or not a Lease or Month to Month Rental Agreement is executed, Owner may, at Owner's sole discretion, deem such misstatement or misrepresentation to be a material and non-curable breach of any subsequent Lease or Month to Month Rental Agreement and grounds for rescission of the contract and immediate eviction. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information.