Which Property?

Type of Apt up Move-In Date: Special Requests: Leasing Specialist down corner flat stilt

EASTERN PROPERTY MANAGEMENT RENTAL APPLICATION

Date of Birth Social Security# Phone Email Landlords Phone Reason for Leaving? How long there? Reason for Leaving? Landlords Phone Current Rent?

Applicants Full Name Present Street Address City, State, Zip Drivers License # & State Issued Present Landlord How long here? Previous Street Address City, State, Zip Landlords Name Have you ever been party to an eviction? Present Employer Employers Street Address City, State, Zip Monthly Salary $ $ Model Year Other Income Received Monthly Automobile Make

Employers Phone Your Position Length of Employment - Please provide pay stubs or verification of salary & income Sources of Other Income State/Tag# Relationship Phone Employer Name & Phone Relationship Relationship Relationship Age Age Age

Closest Relative/Emergency Contact Name Street Address City, State, Zip Other Resident Name Other Resident Name Other Resident Name *Please list any additional residents on the back of this form Do you have a pet? What kind of animal?

Total Residents (including yourself) Breed Weight

All pets are subject to a pet interview. Please provide updated vaccination records for your pet, and if you have a dog we will need documentation of renters insurance..

I hereby make application for the purpose of leasing an apartment from Eastern Property Management and certify under the penalty of law that the above information is factual and correct. I authorize Eastern Property Management to investigate these statements and obtain further background information as may be necessary at arriving at a leasing decision. This application is made subject to the approval by Eastern Property Management which may, without designating cause, disapprove said application. Such disapproval shall not be considered a reflection upon the applicant. I understand that Eastern Property Management may terminate any rental agreement entered into for any misrepresentation made above.

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