CONFIDENTIAL                                                                     LEASE APPLICATION                                   
                               
                                                                   (PLEASE PRINT)           
  DATE:  ____________________________
 

BUILDING ADDRESS OF APT YOU ARE APPLYING FOR:  _________________________________________________________ UNIT:  _________

NAME:  (LAST)  __________________________________________________  (FIRST)  __________________________________  (MIDDLE)  _____

SOCIAL SECURITY #:  _______________________________________________  AGE:  __________  BIRTH:  (M/D/Y)  ________________________

CURRENT ADDRESS:
(HOUSE NO.)  ___________  (STREET)  _______________________________________________________  (ST TYPE)  __________  (APT #)  ____

(CITY)  _______________________________________________________  (STATE)  _______________________________  (ZIP)  ______________

CURRENT TELEPHONE #:   (_____)    ___________________________________CELL PHONE #: __________________________________________

EMAIL ADDRESS: _____________________________________________________________________________________________________________


CURRENT LANDLORD:   (NAME)  _____________________________________________________  TELEPHONE # :  (_____)     ________________

(HOUSE NO.)  _________  (STREET)  _______________________________________________________  (ST TYPE)  __________  (APT #)  _______

(CITY)  _______________________________________________________  (STATE)  _______________________________  (ZIP)  ______________

PREVIOUS ADDRESS:
(HOUSE NO.)  _________  (STREET)  _______________________________________________________  (ST TYPE)  __________  (APT #)  _______

(CITY)  _______________________________________________________  (STATE)  _______________________________  (ZIP)  ______________

PREVIOUS LANDLORD’S NAME:  ____________________________________________________  TELEPHONE #:  (_____)     ___________________ 

(HOUSE NO.)  _________  (STREET)  _______________________________________________________  (ST TYPE)  __________  (APT #)  _______

(CITY)  _______________________________________________________  (STATE)  _______________________________  (ZIP)  ______________

EMPLOYER’S NAME:  ____________________________________________________________________________________

(ADDRESS)  _________________________________________________________________________  TELEPHONE # :  (_____)     ________________

(CITY)  _______________________________________________________  (STATE)  _______________________________  (ZIP)  ______________

(JOB TITLE)  _______________________________  EMPLOYMENT LENGTH:  (YEARS)  _______  (MOS.)  _______  (MO. INCOME)  _____________

AUTOMOBILE(S):
(YEAR)  ________    (MODEL & COLOR)  _______________________________________________________  LIC. #  __________________________

(YEAR)  ________    (MODEL & COLOR)  _______________________________________________________  LIC. #  __________________________

PERSON TO BE NOTIFIED IN CASE OF EMERGENCY:
(NAME)  __________________________________________________________________________  TELEPHONE #:   (_____)     _________________

(HOUSE NO.)  ___________  (STREET)  ______________________________________________________  (ST TYPE)  _________  (APT #)  _______

(CITY)  ________________________________________________________  (STATE)  _______________________________  (ZIP)  ______________

1.     Why are you moving?  _____________________________________________________________________________________________________

         _______________________________________________________________________________________________________________________

2.     Have you ever been evicted?                         YES  ______      NO  ______  If YES, explain: ____________________________________________

        ________________________________________________________________________________________________________________________

  3.   Have you ever been convicted of a felony?    YES   ______      NO  ______  If YES, explain: ___________________________

        _________________________________________________________________________________________________________________________

 APPLICANT(S) SIGNATURE(S): _________________________________________________________________________________________
By signing this lease application, applicant(s) authorizes the owner to run a credit check and verify any information on this application.  Acceptance of this
application for
lease of the above apartment unit is subject to the owner’s approval and thE signing of a lease agreement by the applicant(s).