Lease Property

1. Property Address

Anticipated

1. Move-in Date
2. Monthly Rent
3. Security Deposit

Property Condition

Applicant is strongly encouraged to view the Property prior to submitting any application. Landlord makes no express or implied warranties as to the Property’s condition. Applicant requests Landlord consider the following repairs or treatments should Applicant and Landlord enter into a lease:

Applicant was referred to Landlord by

• Newspaper
• Sign
• Internet
• Other

1. Applicant’s name Is there a co-applicant?
   • Yes
   • No
   If Yes, Co-applicant must submit a separate application.

1. Applicant’s former last name
3. Email
4. Home phone
5. Work phone
6. Mobile/Pager
7. Soc. Sec. No.
8. Driver License No.
9. In State of texas arizona michigan nebraska texas arizona michigan nebraska
10. Date of Birth
11. Height
12. Weight
13. Eye color
14. Hair color
15. Marital status
16. Citizenship

Emergency Contact:

(Do not insert the name of an occupant or co-applicant.)

1. Name
2. Address
3. Phone
4. Email

Name all other persons who will occupy the Property

1. Applicant’s Current Address
2. Apt. No
3. Landlord or Property Manager’s Name
4. Email
5. Phone
6. Phone
7. Phone
8. Phone
9. Date Moved-In
10. Move-Out Date
11. Rent
12. Reason for move

1. Applicant’s Previous Address
2. Apt. No
3. Landlord or Property Manager’s Name
4. Email
5. Phone
6. Phone
7. Phone
8. Phone
9. Date Moved-In
10. Move-Out Date
11. Rent
12. Reason for move

1. Applicant’s Current Employer
2. Address
3. Supervisor’s Name
4. Phone
5. Fax
6. Email
7. Start Date
8. Gross Monthly Income
9. Position

Note: If Applicant is self-employed, Landlord may require one or more previous year’s tax return attested by a CPA, attorney, or other tax professional.

1. Applicant’s previous Employer
2. Address
3. Supervisor’s Name
4. Phone
5. Fax
6. Email
7. Employed from
8. Employed to
9. Gross Monthly Income
10. Position
11. Describe other income Applicant wants considered

List all vehicles to be parked on the Property:

If yes, list all pets to be kept on the Property

1. Will any waterbeds or water-filled furniture be on the Property?
   • Yes
     Yes
   • No
     No
2. Does anyone who will occupy the Property smoke?
   • Yes
     Yes
   • No
     No
3. Will Applicant maintain renter’s insurance?
   • Yes
     Yes
   • No
     No
4. Is Applicant or Applicant’s spouse, even if separated, in military?
   • Yes
     Yes
   • No
     No
5. If yes, is the military person serving under orders limiting the military person’s stay to one year or less?
   • Yes
     Yes
   • No
     No

Has Applicant ever

1. been evicted?
   • Yes
     Yes
   • No
     No
2. been asked to move out by a landlord?
   • Yes
     Yes
   • No
     No
3. breached a lease or rental agreement?
   • Yes
     Yes
   • No
     No
4. filed for bankruptcy?
   • Yes
     Yes
   • No
     No
5. lost property in a foreclosure?
   • Yes
     Yes
   • No
     No
6. had any credit problems (including any outstanding debt (e.g., student loans or medical bills)), slow-pays or delinquencies?
   • Yes
     Yes
   • No
     No
7. been convicted of a crime?
   • Yes
     Yes
   • No
     No

1. Is any occupant a registered sex offender?
   • Yes
     Yes
   • No
     No
2. Are there any criminal matters pending against any occupant?
   • Yes
     Yes
   • No
     No
3. Is there additional information Applicant wants considered?
   • Yes
     Yes
   • No
     No

Authorization

Applicant authorizes Landlord and Landlord’s agent, at any time before, during, or after any tenancy, to:

• (1) obtain a copy of Applicant’s credit report;
• (2) obtain a criminal background check related to Applicant and any occupant; and
• (3) verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Privacy Policy: Landlord’s agent or property manager maintains a privacy policy that is available upon request.

Acknowledgement & Representation

• (1) Signing this application indicates that Applicant has had the opportunity to review Landlord’s tenant selection criteria, which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
• (2) Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
• (3) Applicant represents that the statements in this application are true and complete.