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Rental Application

*Property Applying For:
*# of Bedrooms:
*Month Needed:
*Full Name:
Social Security #:
*Date of Birth:
*Phone #:
*Email Address:
*Do you have a pet?
Will anyone be smoking in your apartment?
*Have you ever been evicted or asked to leave?
*Have you ever filed bankruptcy?
*Have you ever been convicted of a crime?
*CURRENT ADDRESS:
*Current Rent Rate (if applicable):
*Number of Years at Current Address:
*Current Landlord's Name:
*Current Contact's Phone Number:
*PREVIOUS ADDRESS:
*Number of Years at this Address:
Rent Rate:
*Landlord's Name:
*Contact's Phone Number:
YOUR EMERGENCY CONTACT NAME:
Emergency Contact's Address:
Emergency Contact's Phone:
VEHICLE INFORMATION Make/Model/Color:
Plate #:
Driver's License #:
VEHICLE #2 (if applicabl)e Make/Model/Color:
Second Vehicle Plate #:
Second Drivers License #:
*PLACE OF EMPLOYMENT:
*How many hours per week?
*Work Address:
*How long have you been employed there?
*Gross Monthly Income:
*Supervisor's Name:
*Supervisor or HR Phone #:
SECOND PLACE OF EMPLOYMENT (if applicable):
How many hours do you work per week?
Second Work Address:
How long have you worked here?
Second Job Gross Monthly Income:
Second Job Supervisor's Name:
Supervisor's phone #:
OTHER SOURCES OF INCOME Will you be receiving any other income that you want considered with this application (e.g., Section 8 Rental Assistance, SSI, Social Security, public assistance, W-2, alimony, child support, savings, trust funds, scholarships, or any other type of income)? If so, please provide the following information for verification.
Source of Income #1 (Name of Agency):
Address of Agency:
Contact Person's Name:
Contact's Phone #:
Amount of Income:
Source of Income #2 (Name of Agency):
Address of Agency #2:
Contact Person's Name #2:
Second Source of Income Phone #:
Amount of Income from #2:

How did you hear about us?

SIGNATURE CLAUSE:
The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease. I have no rental agreement with the Landlord before the time of the lease signing.

I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency.

I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about the property.

By pressing the SUBMIT button I acknowledge I read and agreed with the above and hereby authorize verification of my information, references and credit records. I acknowledge that false information here in may constitute a criminal offense under the laws of this state.

THANK YOU FOR APPLYING FOR RESIDENCY AT DONEFF COMPANIES!

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