Rental Application Apartment Number: Address: Start Date: Monthly Rent: About You Full Name Current Phone Email address Date of Birth SS# Driver License #: Vehicle make/model/year Lic. Plate#: Name of Other Person(s) to Occupy Unit and Age(s) (if under 18) Please List One Per Line Do you have any pets? Yes No If so, what kind? How much does it weigh? Are you a full time student? Yes No School Attending: Current Class Standing: RESIDENCE HISTORY CURRENT ADDRESS:(must be complete and verifiable- including City, State, & Zip code) Mo/Yr moved in: Reason for leaving previous residence (if applicable) Owner or agent: Phone: PREVIOUS ADDRESS: Mo/Yr moved in: Reason for leaving previous residence (if applicable) Owner or agent: Phone: PREVIOUS ADDRESS: Mo/Yr moved in: Reason for leaving previous residence (if applicable) Owner or agent: Phone: EMPLOYMENT & INCOME Company Name: Current or Previous? Current Previous Address: Phone: Date(s) Employed: Job Title: Wages/Salary: $ Per (Choose 1) Hour Month Year Supervisor’s Name: Are there are other sources of income you would like us to consider? Please list income, source, and person (Banker, Employer, etc.) who we would contact for confirmation. You do NOT have to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application. Yes No Current or Previous? Current Previous Source Amount Per Week Month Year Confirmation Person Confirmation Person Phone Number BANK AND CREDIT REFERENCE Your Bank City/State Phone # Type of Account Have you ever? Have you ever filed for bankruptcy? Yes No Have you ever been evicted from tenancy? Yes No Have you ever willfully or intentionally refused to pay rent when due? Yes No Do you have any current money judgements filed against you? Yes No PLEASE READ CAREFULLY BEFORE SIGNING In considering this application from you, management will rely heavily on the information which you have supplied. It is important that the information be accurate and complete. By signing this application, you represent and warrant the accuracy of the information and you authorize management to verify any reference that you have listed. I hereby authorize the Landlord and American Edge Real Estate Services, Inc. and any consumer or credit reporting agency or bureau authorized by it to investigate credit and financial responsibility, income level, rental and eviction history, and the statements made in this application. The Landlord and American Edge Real Estate Services, Inc. are also authorized to report my performance under this lease to any such agency, person, or organization. E-Sign Here Please type your full name to sign here:
