RESIDENTIAL RENTAL APPLICATION Name * First Name Last Name Phone * (###) ### #### Email * Unit you are applying for * Date you could move in (if approved)? * Birth date Drivers license number and state List all proposed occupants, birth date and relationship to occupant Current address Previous landlord's contact number Reason for leaving? Was rent always paid on time? If not explain circumstances Name in which your utilities are now billed Automobiles that will be parked at the residence Emergency contact Personal references Have you ever been served a eviction notice? Have you ever been convicted of a felony? If so explain the circumstances How many pets do you have (list Type, Breed, approx Weight & Age)? Have you had any reoccurring problems with your current apartment or landlord or involved in a lawsuit? If yes, please explain: Why are you moving from your current address? DESCRIBE YOUR CURRENT EMPLOYMENT AND CONTACT INFO SO WE CAN VERIFY EMPLOYMENT. IF NOT EMPLOYED EXPLAIN WHERE THE MONEY WILL COME FROM SECTION 8 ETC. TO PAY RENT AGREEMENT: I believe that the statements I have made are true and correct. I hereby authorize a criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. INITIAL BELOW IF YOU AGREE Thank you!