11/28/2020 Application

11/28/2020 APPLICATION DATA

DATE RECEIVED SUBMISSION IP

Rental 11/28/2020 3:33:38 PM 75.120.252.55

Application PROPERTY OCCUPANT COUNT ?

17 Williams 1 total occupants

FEES RECEIVED APPLICATION STATUS

$25.00 Read

OCCUPANTS ? PETS
Adult - 01/01/1975 Jennifer Donley No pets

COMMENTS
Children:
Jim Smith, 11.1.08
Tom Smith, 2.5.12

APPLICANT #1

NAME DOB
Jennifer Donley 01/01/1975

ID NUMBER SSN
K123456789 123456789

EMAIL PHONE
Jennifer Donley
jennifer@section8educate.com 636-887-6341
January 01, 1975
jennifer@section8educate.com
CURRENT ADDRESS
636-887-6341

ADDRESS REASON FOR LEAVING

123 Main Street School district
St. Louis, MO 63130
LANDLORD PHONE
LANDLORD 111-111-1111
Bob Smith
RENT
LENGTH $1,000.00
5

PREVIOUS ADDRESS

ADDRESS REASON FOR LEAVING

1234 Main St Got Section 8 voucher
Saint Louis, MO 63130
LANDLORD PHONE
LANDLORD 314-111-1111
Jill Smith
RENT
LENGTH $1,000.00
2

EMPLOYMENT INFORMATION

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11/28/2020 Application

EMPLOYER INCOME
Medical office 2000

POSITION LENGTH
CNA 2

ADDRESS PHONE
123 Main Street 636-111-1111
Saint Louis, MO 63130

EMERGENCY CONTACT

NAME PHONE
Sara Smith 636-111-1234

ADDRESS RELATIONSHIP
124 Main Street Friend
Saint Louis, MO 63130

REFERENCES

QUESTIONS

BEEN EVICTED FILED BANKRUPTCY

NO NO

FELONY CONVICTION
NO

WHAT IS THE SOURCE OF INCOME YOU INTEND TO PAY THE RENT WITH (EMPLOYMENT
WAGES, SECTION 8 VOUCHER, E
Employment and Section 8

WHAT IS YOUR IDEAL MOVE IN OR LEASE START DATE?

1.1.21

ARE ANY APPLICANTS OR PROPOSED OCCUPANTS A REGISTERED SEX OFFENDER?

No

IF APPROVED, HOW LONG DO YOU PLAN TO STAY IN THE HOME?

5 years

DO ANY OF THE PROPOSED OCCUPANTS SMOKE?

No

 
All applicant(s) have electronically accepted and agreed to the following:
1. It is crucial that all information be complete on this application, including the documentation
& information listed below. Fully complete applications are processed FIRST. Applications
missing a lot of requested documentation & information will be declined.

Check to make sure all proposed occupants are listed (including children) and all information is
filled out, including:
-prior rent amounts
-length of stay
-landlord name & number

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11/28/2020 Application
-employer name & phone number

2. If your previous residence information doesn't go back at least 5 years, please add residence,
rent and landlord information back 5 years in the Comments section below.

3. You MUST attach BOTH verification of income AND a copy of your Section 8 voucher to be
considered.

We require your last 3 paystubs OR an award letter (if new job) OR other proof of income such
as Disability, SSI payments, Child support, etc.

You can attach the documents to this application OR text photos to 636-887-6341 OR email
them to leasing@clariaclean.com.

All applicant(s) have electronically accepted and agreed to the following terms:
I agree that the information provided is accurate to the best of my knowledge. I understand that
inaccurate information may disqualify my application and may be considered fraud in some
states. I further understand and agree that the landlord/property manager may verify this
information and use this information to do additional screening which may include criminal,
employment, background, and credit checks.

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