Manager Information

APPLICATION TO RENT AND RENTAL DEPOSIT

NOTE: Please complete all below information, leaving blank areas will delay the processing or my result decline

Application to rent property at

FULL name of applicant Co-applicant/spouse

Applicant E-Mail: Co-applicint E-Mail:

Phone Date of birth / / Phone Date of bith / /

Present address : Present address

City/State/Zip. City/State/Zip

Name of current landiord/manager —-- >» SSN of current landiord/manager —

Landlord/manager's phone 5 ra Slee os te et Landlord /manager’s phone PNA ee oe ae

How long at present address LS séHow long/at present address — =

Reason for leaving Reason for leaving

If present address is less than one year, list prior address and indicate landlord/ managers name and phone number:

Name(s) of all other occupant(s) and relationship to applicant:

An application to rent is required for any occupant 18 years of age or over.

Pet(s) (number and type)

Applicant: Soc. Sec. No. —— «CD river's license no, m__ State Expires

Present employer How long with this employer

Employer's address City Zip Phone. )

Position or title Gross income $ per.

Other income $ per. Source

Auto make Model Year. License no. State Color.

If present employment is less than one year, list immediate prior employment information:

Co-applicant: Soc, Sec. No — sé river's license no. State Expires

Present employer How long with this employer

Employer's address City Zip Phone(__}

Position or title Gross:income $= prt

Other income $ per. Source.

Auto make Model__ License no,__ State Of registry__. Color.

If present employment is less than one year, list immediate prior employment information:

Do you plan to use liquid filled furniture? No Yes Type

Has either applicant been a party to an unlawful detainer action or filed bankruptcy within the last seven years? No Yes

If yes, explain

In case of emergency, person to notify PROTON 5

Address City Zip Phone ) 7

Credit Information

Appl./Co-appl. Name of creditor Account number Monthly payment Balance Due

L

Type of account

Bank Account Information

Appl./Co-appl.

Address/branch Account number

Applicant(s) represent(s) the above information to be true, correct and complete and hereby authorize(s) verification of the information provided,

I/We the applicant/s will provide landlord with my/our full credit report. I/We understand the Application fee is not refundable . The cost of application is not a deposit

and will not be applied to future rentor refunded, even if the application to rent is declined. Applicant(s) understand(s) that the landlord may terminate any

rental agreement entered, into for any misrepresentation made above.

a re errs espera s pime — Date yime

Applicant X ean Co-applicant X _ (cay)

leve } —— (eve)

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