LEASE APPLICATION

Date: ________________

Taken By: ___________

Applicants Name: ________________________________________________________________________

(Full Legal)

(First)

(Middle)

SSN: ____________________

(Last)

Business Name: ___________________________________________________________________________

Date of Birth: __________________________

Dr. Lic #: _________________________

TIN: ___________________

Telephone: ______________________

Other Occupation(s): ______________________________________________________________________________________________________

CURRENT ADDRESS
Street:
City/State/Zip:
Rent or Own:
Rent per Month:
How Long (Date/Mo./Yr.)
From:
Landlord:
Mrgs Ph. No.:

PRIOR ADDRESS
City/State/Zip:

To:

From:

PRESENT OCCUPATION

To:

PRIOR OCCUPATION

Occupation:
Employer:
Bus. Address:
Bus. Telephone:
Type of Bus.:
Position/Rank:
Supervisor/C.O.:
How Long?
Monthly Salary:

Bank: __________________________________

Branch: _________________________________

Checking Acct. #: _________________________________________

City: _________________

Savings Acct. #: __________________________________________

Installment (Loans or Credit Cards) Payments Made To:

Name

Address

Acct #

Monthly Payment

1.
________________________________________________________________________________________________________________
2.
________________________________________________________________________________________________________________
3.
________________________________________________________________________________________________________________
Have You Ever Had Credit Under Any Other Name? YES
Car

NO Other Name: _____________________________________________________

Model/Color

Year

License #

1.
________________________________________________________________________________________________________________
2.
________________________________________________________________________________________________________________
Car Insurance Carrier: _____________________________

Agent: __________________________

Phone #: ______________

Reference: ________________________________________________________________________________

Phone #:________________

Address: _________________________________________________

Zip: ____________________

City: ____________________

Reference: ________________________________________________________________________________

Phone #:________________

Address: _________________________________________________

Zip: ____________________

City: ____________________

Emergency Contact: (Relative): _______________________________________________

Address: _________________________________________________
Have you Ever:

Been Evicted:

Phone #:________________________

City: ____________________

Refused to Pay Rent:

Zip: ____________________
Filed Bankruptcy:

Pets:
(No)
(Yes)
Type & Size: ____________________________________________________________________
Comments:______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
__
In compliance with the Fair Credit Reporting Act, we are informing you that information as to your character, general reputation and mode of living is verified. The
facts set forth in this application are true and complete. You as the prospective tenant agree that a complete investigation of all on this application will not constitute
invasion of privacy. I am aware of and extend the privilege to Proper Management to obtain credit reports and/or character reports as necessary. I understand that any
misrepresentations will be sufficient cause for dismissal or voiding of this application. I agree to all the above and sign this of my own volition.

SIGNED: ____________________________________________________

DATE: _________________________________________

SIGNED: ____________________________________________________

DATE: _________________________________________

FOR OFFICE USE ONLY

PROP:

UNIT:

CHECK DONE: