Step 1: Property
Select a Property
Hudson Court
Montego Place
Shoreham Park
Housing
Type of Accommodation Desired
Apartment
Townhouse
Housing
Date Needed
Step 2: Personal Information
Full Name
Status
Single
Married
Widowed
Divorced
Age
Co-tenant Full Name
Co-tenant Status
Single
Married
Widowed
Divorced
Co-tenant Age
Social Security No. of Applicant
Social Security No. of Spouse or Co-Tenant
Present Address
Phone
City
State
Zip
Address Past 3 Years
Reason for Leaving
Total Number of Persons to Occupy Suite
Age(s) of Children (separate with comma)
NOTICE: ONE CHILD PER ROOM — MAXIMUM 2 ADULTS TO OCCUPY A ONE BEDROOM APARTMENT. (NO INCREASE IN OCCUPANTS IS ALLOWED WITHOUT WRITTEN PERMISSION OF LESSOR OR AGENT.)
Step 3: Current & Past Residence
Name & Address of Present Landlord
Former Landlord (if present address is less than 3 yrs.)
Amount of Rent
How many years at this address?
Landlord's Phone No.
Have you ever been evicted for nonpayment of rent?
If yes, explain:
Step 4: Employment
Tenant's Employer
Job Title
Employer Address
Who to contact
Phone
Length of Service
Monthly Income
Other Income
Source of Other Income
Step 5: Financial Information
Checking Account With
Branch
Savings Account With
Branch
Type of Automobile
Year
License Plate No.
State of Registry
Balance Due on Automobile
Monthly Payment
To Whom
Number of Autos you will keep at this address
NOTICE: ONLY ONE AUTOMOBILE ALLOWED PER ADULT TENANT — Boats, Trucks, Trailers, Motorcycles, Inoperable or Unlicensed Automobiles, Campers & Recreational Vehicles are Prohibited on the Premises.
Step 6: Personal References
Name
Address
Relationship
Phone
Name
Address
Relationship
Phone
Step 7: Credit Reference
Name of Company
Address
Phone
Step 8: Emergency Contacts
Name
Relationship
Phone
Street Address
City
State
Zip
Name
Relationship
Phone
Street Address
City
State
Zip
Step 9: Criminal Background
Have you ever been convicted of a felony?
Have you ever been convicted of a misdemeanor?
If yes, explain:
Step 10: Signature
The undersigned warrants and represents that all statements herein are true and complete and hereby authorizes lessor or agent to check references, verify income, employment, rental history and obtain a written credit report. Application subject to landlord accepting credit rating. If lessee wants a signed lease canceled, it is understood that the deposit will be forfeited.All applicants MUST acknowledge these terms by entering their initials and checking the box below.
Signature / Initials
Date Signed
Signature / Initials (Co-tenant)
Date Signed
Email Address
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