Application To Rent You can fill out the application at the office if they wish. Property Property Applying For* Move-in Date*12345678910111213141516171819202122232425262728293031 JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 20172018201920202021202220232024202520262027 Rent Amount* Rental Length* Select One6 months12 months18 months24 months30 months36 monthsmore than 3 years Applicant Info Your Full Name* Present Address* Phone* Date Of Birth* Email* Rental History Current Landlord* Landlord Phone Number* Reason(s) For Moving Previous Address (if less than 2 years) Previous Landlord Previous Landlord Phone Other Info Number of Adults to occupy the property* Age of Children Are You Employed Yes Occupation Average Family Annual Income* Where Employed How Long Employed Employer Phone On Assistance Yes Assistance Type Student Yes Student Where Other Yes Explain Supervisor, Case Worker, etc Supervisor, Case Worker Phone Spouse Spouse's Full Name Spouse's Date of Birth Spouse's Employer Spouse Occipation Spouse's Employer Phone Automobile Year Make Model Color Driver's License License Plate References Credit References (list 2 bank or credit union, and address)* Personal or Business (list 2 name, address, phone)* Next of Kin (name, address, phone)* Do You Have Pets Yes Smoke Yes Have A Criminal Record Yes If YES explain Certification YES You certify that the information supplied above is true and correct, and that you give permission to the Landlord or agent for the Landlord to obtain a credit check and/or verify that the information provided above is true. An application deposit is required before this application will be consider for acceptance (to be applied to the security deposit upon move-in, or refund if rejected). Any false or misleading statements made in this application may be cause for immediate termination of tenancy, if accepted, and/or forfeiture of any deposit(s) given in association with this application. If you are accepted for tenancy, but decline to accept the premises applied for, for any reason, then the application deposit will not be refunded.