• $50 APPLICATION FEE
    ($50 PER PERSON OR MARRIED COUPLE)
  • Application fee must be paid by Paypal in order to proceed. You will be automatically linked to www.paypal.com prior to final submission of this application.
APPLICATION FOR TENANCY

*DENOTES A REQUIRED FIELD
* Application is hereby made to lease the premises at
Lease start date: 20   Lease term:
Monthly rent: $   Security Deposit: $

APPLICANT INFORMATION

 

Applicant

 

Co-Applicant (Check here)
* Name:   Name:
* Address:

*City, State, Zip:		   Address:

City, State, Zip:
* Email Address:   Email Address:
* Date of Birth:   Date of Birth:
* Social Sec. #:   Social Sec. #:
* Work #:   Work #:
* Home/Cell #:   Home/Cell #:
* List All Parties Who Will Occupy Rental:
    Relationship:
    Relationship:
    Relationship:
    Relationship:
    Relationship:

EMPLOYMENT INFORMATION

 

Applicant

 

Co-Applicant (Check here)
* Occupation:   Occupation:
* Employer:   Employer:
* Address:   Address:
* How Long Employed?   How Long Employed?
* Telephone #:   Telephone #:
* Supervisor:   Supervisor:
* Salary: $ per   Salary: $ per
* Additional Income:   Additional Income:
* Source:   Source:

IF MILITARY COMPLETE:

 

IF CO-APPLICANT IS MILITARY COMPLETE:

Duty Station:   Duty Station:
Rank:   Rank:
CO Name:   CO Name:
CO Phone:   CO Phone:
ETS Date:   ETS Date:
LES Attached: Yes No   LES Attached: Yes No
Official Orders Date:   Official Orders Date:

RENTAL HISTORY

 

Applicant

 

Co-Applicant (Check here)
* Current/Prior Landlord:   Current/Prior Landlord:
* Time at address:   Time at address:
* Lease Expiration Date:   Lease Expiration Date:
* Phone/Fax:   Phone/Fax:
* Email:   Email:
* Monthly Rent:   Monthly Rent:
*  Notice Given:   Notice Given:

CREDIT INFORMATION

* Have you EVER had any JUDGMENTS: Yes / No   * Have you EVER filed Bankruptcy: Yes / No
If Yes, Explain:   If Yes, Explain:
         
         
Have you ever been Sued/Evicted for Non-Payment of Rent: Yes / No    
If Yes, Explain:      
         
         

EMERGENCY CONTACT INFORMATION

Contact Name:   Relationship:
Address:   Phone:
Contact Name:   Relationship:
Address:   Phone:

DO YOU OR ANY OF THE OCCUPANTS HAVE:

a) Hearing Impairment(s): Yes / No   If yes, will you have a Hearing Impaired Smoke Detector
b) Water Bed(s): Yes / No   If Yes, do you have Insurance:
c) Renters Insurance: Yes / No    
* d) Any pets: Yes / No   If Yes, How Many: Type of pet:
  Pet Breed/Weight?
e) Disabilities: Yes / No   If yes, explain:
Agent has the responsibility to offer service to all clients pursuant to State and Federal Fair Housing Law.
The owner of the unit you are applying for carries insurance on the building only. We require you to obtain insurance on your personal belongings. The agent and the owner of the property are not responsible for damage to your property.
We/I certify the foregoing information is true and accurate to the best of our/my knowledge. The agent or the owner has our/my consent to investigate our/my credit record and verify credit, employment and any rental reference or income.
In the event applicant(s) withholds information or gives false information, this application and the lease agreement may be terminated by the agent/owner.
If this application is approved and the applicant(s) decides not to rent the property and/or sign the lease agreement, any security deposit and/or pet deposit paid by him/her will be forfeited. If the security deposit is not paid at the time of application or within twenty four hours after the application is accepted, the unit will be placed back on the rental market. Application fees are non-refundable.
PLEASE READ THE ABOVE STATEMENTS CAREFULLY BEFORE SUBMITTING. Your submission of this form to the Property Shoppe constitutes your acknowledgement to the terms of this document.