Lakeside Community
| RENTAL APPLICATION Equal Housing Opportunity Printable PDF |
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The undersigned hereby makes an application to rent the premises located at ________________________________________, Rolla, MO, 65401, Lakeside Community. Anticipated move date of _______________at a monthly rent of $______________ and security deposit of $______________. ***Note: If there will be a Co-Applicant , that person will need to fill out their own residential , credit history and employment information sections. See below. Date of Birth___________________ Home Phone ( ) _______________________________________ Social Security #______________________________________ Email Address:________________________________(optional) Other Phone ( ) _________________________________ Co-Applicant Name_____________________________________________ Date of Birth____________________________ Social Security #____________________________________ Names and Dates of Birth for Dependents_____________________ ________________________________________________________ _________________________________________________ List All Pets_______________________________________________ ____________________________________________ APPLICANT-PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) PLEASE PRINT! TELL US ABOUT YOURSELF AUTHORIZATION Release of Information I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting a home with this owner/manager. ___________________________________________________________ Name of Applicant (please print) X__________________________________________________________ Signature of Applicant ___________________________________________________________ Name of Co-Applicant (please print) X__________________________________________________________ Signature of Co-Applicant Applicants Full Name Current Address_______________________________________________ Apt#_________________ City__________________ State______ Zip_____________ Month/Year Moved In________________ Rent $________per________Reasons for Leaving____________________________ ___________________________________________________________ Owner/Agent__________________________________________________ Phone ( ) ________________________________ Previous Address (last 3 years)_________________________________________________________ Rent $____________per______ Owner/Agent__________________________________________________ Phone ( ) ________________________________ APPLICANT-PLEASE DESCRIBE YOUR CREDIT HISTORY Have you declared bankruptcy in the past seven (7) years? Yes___________ No____________ Have you ever been evicted from a rental residence? Yes___________ No____________ Have you had two or more late rental payments in the past year?Yes___________ No____________ Have you ever willfully or intentionally refused to pay rent when due? Yes___________ No____________ APPLICANT-PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION Your Status: _____Full Time _____Part Time _____Student _____Unemployed Employer______________________________________________________ CONTINUED-APPLICANT EMPLOYMENT INFORMATION Dates employed_______________________________ Occupation_____________________________________________________ Supervisor Name_____________________________________________ Phone ( )_________________________________ Salary $_________________per________________. (If employed by above less than 12 months, give name & phone of previous employer or school: _____________________________________________________________.) If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may 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. Amount $___________________ Source/Contact Amount $___________________ Source/Contact Name_________________________________________ Name__________________________________________________ APPLICANT-PLEASE LIST YOUR REFERENCES Name________________________ Type of Account_________________ Account Number_________________________________ Name________________________ Type of Account_________________ Account Number_________________________________ Personal Reference or Emergency Contact: Name _______________________ ____________________ Address ____________________________________________________ Phone _________________________________________________ Relationship__________________________________________ Name _______________________ ____________________ Address ____________________________________________________ Phone _________________________________________________ Relationship__________________________________________ Driver's License:Your Driver's License Number _____________________________________________________ State_____________________ Vehicle Information:Make / Model __________________________________ Year ______________ License Plate/ State____________________________ C0-APPLICANT-PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS) Banking Accounts: Current Address_______________________________________________________ Apt#_______________City__________________ State______ Zip_____________ Month/Year Moved In__________________ Rent $________per______Reasons for Leaving____________________________ ______________________________________________________________ Owner/Agent__________________________________________________ Phone ( ) _________________________________ Previous Address (last 3 years)_________________________________________________________ Rent $____________per______ Owner/Agent__________________________________________________ Phone ( ) _________________________________ CO-APPLICANT-PLEASE DESCRIBE YOUR CREDIT HISTORY Have you declared bankruptcy in the past seven (7) years? Yes___________ No____________ Have you ever been evicted from a rental residence? Yes___________ No____________ Have you had two or more late rental payments in the past year?Yes___________ No____________ Have you ever willfully or intentionally refused to pay rent when due?Yes___________ No____________ CO-APPLICANT-PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION Your Status: _____Full Time _____Part Time _____Student _____Unemployed Employer_______________________________________________________ Dates employed_______________________________ Occupation______________________________________________________ Supervisor Name_____________________________________________ Phone ( )__________________________________Salary $_________________per________________. (If employed by above less than 12 months, give name & phone of previous employer or school:________________________________________________________.)If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may 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. Amount $___________________ Source/Contact Amount $___________________ Source/Contact Name_________________________________________ Name__________________________________________________ CO-APPLICANT-PLEASE LIST YOUR REFERENCES Name_______________________________ Type of Account_________________ Account Number__________________________ Name_______________________________ Type of Account_________________ Account Number__________________________ Personal Reference or Emergency Contact:Name __________________________________________ Address _____________________________________________________ Phone _________________________________________________ Relationship__________________________________________ Name _______________________ ____________________ Address ____________________________________________________ Phone _________________________________________________ Relationship__________________________________________ Driver's License:Your Driver's License Number____________________________________________________ State_________________ Vehicle Information:Make / Model __________________________________Year _________________ License Plate State_________________________ Where may we reach you to discuss this application? Day Phone # ( ) ________________________________ Night Phone # ( )___________________________________ I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the fourth day of each month in advance. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, my application will be denied.When I am approved and accepted, before possession is given, I agree to execute a lease for ___________ months and to pay the security deposit prior to the move in date. I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. The above information, to the best of my knowledge, is true and correct. Please sign: X______________________________________________________________ Signature of Applicant Please Sign: X______________________________________________________________ Signature of Co-Applicant |