SEPARATE LEASE APPLICATION REQUIRED FOR EACH CO-TENANT NOT A SPOUSE OR A MINOR CHILD

APPLICATION FOR  Apt, # ____________________________ Location __________________________ Rental Amt. _______________________ Beginning Date ____________________

1 .NAME ________________________________ Age ________ Sex ________
SOCIAL SECURITY # _________________________ DOB___________________
Phone number_________________________

2. OTHER OCCUPANTS
 Name ___________________ Relationship _______Age____Sex______DOB_________
 Social Security #_____________________________
 Name ___________________ Relationship _______Age____Sex______DOB_________
 Social Security #_____________________________
 Name ___________________ Relationship _______Age____Sex _____DOB_________
 Social Security #_____________________________

3. PRESENT ADDRESS: _____________________________________________________
If at above address less than one (1) year, give previous address below.
_________________________________________________________________________
Own Home ________________ Rent Apt. _______________ Other _______________
If rent apt: Apt. Name ________________ Address _________________________
Present Rental $__________ month  # Bedrooms _____ Lease Expires ________
Name of present landlord ________________________________________________
Has any landlord ever sued applicant for rent or possession? ____________
Do you presently owe any rent or other moneys to another landlord? ______

4. EMPLOYMENT: Name of Firm _____________________________________________
Type of Business ________________________________________________________
Address __________________________________ Bus.Phone ____________________
Nature of Employment _____________________ How long at this firm? _______
Past Employer if above is less than one (1) year ________________________
Present Annual Income __________________

5. SPOUSE   Name of Firm ________________________________________________
EMPLOYMENT: Type of Business ____________________________________________
Address _________________________________________________________________
Nature of Employment __________________ How long at this firm? __________
Past Employer if above is less than one (1) year ________________________
Present Annual Income __________________

6. BANK a. ______________________________ Branch ________________________
__ CHECKING      __ SAVINGS      __ LOAN
       b. _______________________________ Branch ________________________
__ CHECKING      __ SAVINGS      __ LOAN

7. Personal  REFERENCES
a. Name _____________________________Address ____________________________
   Yrs Known_______Relationship ____________________Phone #______________ 
b. Name______________________________Address_____________________________
   Yrs Known_______Relationship ____________________Phone #______________
C. Name______________________________Address ____________________________
   Yrs Known_______Relationship ____________________Phone #______________

8. VEHICLES: No. of automobiles _____ Lic. # __________ Lic. # __________
Do you have a boat? _____________ bicycle? ____________ Other ___________
If so, describe _________________________________________________________

9. Do you have a pet? ___________________ Description ___________________

10. Person to Notify in Case of Emergency _______________________________
Relationship ________ Address ___________________________________________
Telephone No. __________________________

I/We have read this Application and the lease for which this application is made.  I/We hereby state and represent that the information provided by Me/Us in this Application is complete and accurate, and I/We acknowledge and agree that in the event I/We enter into a lease with the Landlord that lease may be canceled by the Landlord in the event any of the information provided by Me/Us in this Application is materially inaccurate or incomplete.  I/We understand that the Rules and Regulations are adopted for the benefit of all tenants and a proper operation of the property, and I/We agree that the tenancy will be subject to them. (when applicable). Permission is given to obtain information from landlords and employers about me/us. I understand that the deposit is non-refundable in the event I fail to take residence after having been approved.
 

	Applicant ___________________________
Date: ___________________	Applicant ___________________________