Preswick Properties LLC.

(317) 426-9456
APPLICATION TO RENT
Please P R I N T o n e name to each application

Name Driver’s License Social Security # Birthdate

Number

I hereby apply to rent/lease the property at:

Current home address: Prior occupancy past 5 years address:

City: State: Zip: City: State: Zip:

Dates of occupancy: Dates of Occupancy :

Rent Paid: Rent Paid:

Your Phone number Prior Landlord’s Name and . Phone Number:

Current Employment: Current Landlord's Name

Monthly Salary: Occupation: Current Landlord's Phone Number:

Employer Name & Phone #: Previous Employer Name & Phone #:

Work Address: Previous Work Address:

Vehicle Make Year Color Plate # State

Please list ALL proposed occupants including pets: Pets: Yes or No

Do you have credit problems?

Have you ever been evicted for any reason or had an unlawful detainer filed against you ?
Have you ever been charged or convicted of selling, possessing, distributing, or manufacturing illegal drugs ?
Have you ever been charged or convicted with a felony or other violent crime ? If Yes see next question*
*Are you required to report under Indiana Sex and Violent Offender Registry ?
IC 11-8-8, 35-38-1-7.5, 35-42-4-10, 35-42-4-11, and 35-42-4-12.
Will you be able to provide proof of employment and current address ?
Will you be able to obtain and maintain a renter’s insurance policy for the duration of the lease ?

Please explain any “Yes” answers on the back of this application**

** A yes answer is NOT an automatic disqualifying applicant from tenancy.
Applicant represents that statements made are true and correct and here by authorizes verification of references to include but not limited to credit checks, unlawful
detainer checks, background checks, and any information accessible via public/private databases. Applicant agrees to furnish additional information upon request. I
authorize verification of the information contained herein solely for the purpose of establishing my qualifications as a tenant. I release anyone verifying such information
or providing information, from liability. I understand that incomplete or incorrect information provided in the application, may cause a delay in processing and can result
in denial of tenancy.
A $35 NONREFUNDABLE FEE will be required to process this application
Make checks to: Preswick Properties 517 E 19th Street Indianapolis, IN 46202 317-426-9456

Date: Applicant Signature: