ezLandlordForms Custom Document
Apartment Number:_____________ Move In Date:_________________ Rent $__________________ Other:____________ Lease Term____________
RENTAL APPLICATION Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.
PERSONAL INFORMATION FIRST NAME
MIDDLE
DATE OF BIRTH PHONE
/
/
_
_
MARITAL STATUS
❏ CELL ❏ HOME
LAST
❏ SINGLE ❏ MARRIED
Since ___________
_
PHONE
S.S.#
PRESENT HOME ADDRESS
_
❏ DIVORCED
EXT.
Since ___________
❏ HOME ❏ WORK
–
–
DRIVERS LICENSE #
STATE
EMAIL
CITY/STATE/ZIP
LENGTH OF TIME
PRESENT LANDLORD
REASON FOR LEAVING
AMOUNT OF RENT
PREVIOUS HOME ADDRESS
CITY/STATE/ZIP
LENGTH OF TIME
Is your present rent up to date?
PREVIOUS LANDLORD AMOUNT OF RENT
NEXT PREVIOUS HOME ADDRESS
CITY/STATE/ZIP
Was your rent up to date?
NEXT PREVIOUS LANDLORD
REASON FOR LEAVING
_
LANDLORD PHONE
REASON FOR LEAVING
LENGTH OF TIME
_
LANDLORD PHONE
AMOUNT OF RENT
❏ YES ❏ NO _
❏ YES ❏ NO _
LANDLORD PHONE
_
Was your rent up to date?
_
❏ YES ❏ NO
PROPOSED OCCUPANT(S) NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
PROPOSED PET(S) NAME
TYPE/BREED
NAME
TYPE/BREED
NAME
TYPE/BREED
❏
INDOOR
❏
OUTDOOR
❏
INDOOR
❏
OUTDOOR
❏
INDOOR
❏
OUTDOOR
AGE AGE AGE
VEHICLE(S) INFORMATION YEAR
MAKE
MODEL
COLOR
PLATE #
STATE
YEAR
MAKE
MODEL
COLOR
PLATE #
STATE
EMPLOYMENT CURRENT EMPLOYER
OCCUPATION
SUPERVISOR
PHONE
ADDRESS
CITY/STATE/ZIP
CURRENT EMPLOYER
OCCUPATION
SUPERVISOR
PHONE
ADDRESS
CITY/STATE/ZIP
HOURS/WEEK
_
_
EXT:
YEARS EMPLOYED
HOURS/WEEK
_
_
EXT:
YEARS EMPLOYED
INCOME CURRENT INCOME $____________ CURRENT INCOME $____________ CURRENT INCOME $____________
❏ WEEKLY ❏ BIWEEKLY ❏ MONTHLY ❏ YEARLY ❏ WEEKLY ❏ BIWEEKLY ❏ MONTHLY ❏ YEARLY ❏ WEEKLY ❏ BIWEEKLY ❏ MONTHLY ❏ YEARLY
Community: Riverpointe Apartment Homes
SOURCE
PROOF OF INCOME
SOURCE
PROOF OF INCOME
SOURCE
PROOF OF INCOME
Phone: 509-946-3200
Fax: 509-946-0872 Email: [email protected]
❏ YES ❏ NO ❏ YES ❏ NO ❏ YES ❏ NO
RENTAL APPLICATION Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.
CREDIT CARD / FINANCIAL INFORMATION CAR LOAN LIEN HOLDER
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CREDIT CARD COMPANY
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CREDIT CARD COMPANY
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CREDIT CARD COMPANY
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CHILD SUPPORT/ OTHER CREDIT OWED
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
BANK ACCOUNT NAME OF BANK
BALANCE
MONTHLY PAYMENT
ACCOUNT NUMBER
EMERGENCY / PERSONAL REFERENCE INFORMATION EMERGENCY CONTACT
PHONE
RELATION
ADDRESS
EMERGENCY CONTACT
PHONE
RELATION
ADDRESS
PERSONAL REFERENCE
PHONE
RELATION
ADDRESS
PERSONAL REFERENCE
PHONE
RELATION
ADDRESS
_
_
❏ CELL ❏ HOME
PHONE
_
_
_
_
_
_
_
_
❏ HOME ❏ WORK
CITY/STATE/ZIP
_
_
❏ CELL ❏ HOME
PHONE
❏ HOME ❏ WORK
CITY/STATE/ZIP
_
_
❏ CELL ❏ HOME
PHONE
❏ HOME ❏ WORK
CITY/STATE/ZIP
_
_
❏ CELL ❏ HOME
PHONE
❏ HOME ❏ WORK
CITY/STATE/ZIP
APPLICANT QUESTIONNAIRE / AUTHORIZATION Has applicant ever been bankrupt?
❏ YES
❏ NO
Has applicant ever been brought to court by another landlord?
❏ YES
❏ NO
Has applicant ever been guilty of a felony?
❏ YES
❏ NO
Has applicant ever moved owing rent or damaged an apartment?
❏ YES
❏ NO
Has applicant ever broken a Lease?
❏ YES ❏ YES
❏ NO ❏ NO
Is the total move-in amount available now (rent and deposit)?
❏ YES
❏ NO
Would you like your screening result be e-mail to you?
E-mail:
I agree to pay a $40.00 NON-REFUNDABLE SCREENING FEE. I understand that I acquire no rights in an apartment until I sign this agreement and submit a holding fee of $_______________. Upon approval of tenancy and the signing of an apartment rental agreement, this fee will be credited against my deposit and/or my first month's rent. In consideration for landlord holding said apartment at Riverpointe Apartment Homes, I hereby waive all rights to the return of said holding fee and said fee shall be retained as liquidated damages in the event I do not chose to enter into the agreement between 72 hours. In the event said application for tenancy is not accepted, holding fee shall be returned to applicant. X ______________________________________________________________________________________________ ____________________________________ APPLICANT INITIAL'S
DATE
I am aware that an incomplete application causes a delay in processing and may result in denial of tenancy.
Pursuant to State and Federal Fair Credit Reporting Acts, this is to inform you that a consumer investigation involving statements made on this application is being initiated. This investigation may involve obtaining information regarding your character, general reputation, credit or mode of living and criminal background. You have the right to dispute the information reported. Upon written request, you are entitled to a complete and accurate disclosure of the investigation’s nature and scope as well as a written summary of your rights and remedies under the Fair Credit Reporting Act. I certify that to the best of my knowledge, all statements are true and complete. I authorize US Residential Group and its agents to obtain all reports and verifications necessary to verify all information put forth in the above application and to furnish all information to the landlord named above. False, fraudulent or misleading information may be grounds for denial of tenancy or subsequent eviction. The information sought is solely for use in evaluationof the named applicant's tenancy. X ______________________________________________________________________________________________
APPLICANT'S SIGNATURE
____________________________________
DATE
x_______________________________________________ AGENT SIGNATURE
_________________ DATE
NOTES:
Community: Riverpointe Apartment Homes
Phone: 509-946-3200
Fax: 509-946-0872 Email: [email protected]
RENTAL APPLICATION Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.
PERSONAL INFORMATION FIRST NAME
MIDDLE
DATE OF BIRTH PHONE
/
/
_
_
MARITAL STATUS
❏ CELL ❏ HOME
LAST
❏ SINGLE ❏ MARRIED
Since ___________
_
PHONE
S.S.#
PRESENT HOME ADDRESS
_
❏ DIVORCED
EXT.
Since ___________
❏ HOME ❏ WORK
–
–
DRIVERS LICENSE #
STATE
CITY/STATE/ZIP
LENGTH OF TIME
PRESENT LANDLORD
REASON FOR LEAVING
AMOUNT OF RENT
PREVIOUS HOME ADDRESS
CITY/STATE/ZIP
LENGTH OF TIME
Is your present rent up to date?
PREVIOUS LANDLORD AMOUNT OF RENT
NEXT PREVIOUS HOME ADDRESS
CITY/STATE/ZIP
Was your rent up to date?
NEXT PREVIOUS LANDLORD
REASON FOR LEAVING
_
LANDLORD PHONE
REASON FOR LEAVING
LENGTH OF TIME
_
LANDLORD PHONE
AMOUNT OF RENT
❏ YES ❏ NO _
❏ YES ❏ NO _
LANDLORD PHONE
_
Was your rent up to date?
_
❏ YES ❏ NO
PROPOSED OCCUPANT(S) NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
NAME
RELATIONSHIP
OCCUPATION
AGE
PROPOSED PET(S) NAME
TYPE/BREED
NAME
TYPE/BREED
NAME
TYPE/BREED
❏
INDOOR
❏
OUTDOOR
❏
INDOOR
❏
OUTDOOR
❏
INDOOR
❏
OUTDOOR
AGE AGE AGE
VEHICLE(S) INFORMATION YEAR
MAKE
MODEL
COLOR
PLATE #
STATE
YEAR
MAKE
MODEL
COLOR
PLATE #
STATE
EMPLOYMENT CURRENT EMPLOYER
OCCUPATION
SUPERVISOR
PHONE
ADDRESS
CITY/STATE/ZIP
CURRENT EMPLOYER
OCCUPATION
SUPERVISOR
PHONE
ADDRESS
CITY/STATE/ZIP
HOURS/WEEK
_
_
EXT:
YEARS EMPLOYED
HOURS/WEEK
_
_
EXT:
YEARS EMPLOYED
INCOME CURRENT INCOME $____________ CURRENT INCOME $____________ CURRENT INCOME $____________
❏ WEEKLY ❏ BIWEEKLY ❏ MONTHLY ❏ YEARLY ❏ WEEKLY ❏ BIWEEKLY ❏ MONTHLY ❏ YEARLY ❏ WEEKLY ❏ BIWEEKLY ❏ MONTHLY ❏ YEARLY
Community: Riverpointe Apartment Homes
SOURCE
PROOF OF INCOME
SOURCE
PROOF OF INCOME
SOURCE
PROOF OF INCOME
Phone: 509-946-3200
Fax: 509-946-0872 Email: [email protected]
❏ YES ❏ NO ❏ YES ❏ NO ❏ YES ❏ NO
RENTAL APPLICATION Every occupant over the age of 18 MUST fill out a separate application (even if married). Please fill out this form COMPLETELY and sign where indicated.
CREDIT CARD / FINANCIAL INFORMATION CAR LOAN LIEN HOLDER
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CREDIT CARD COMPANY
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CREDIT CARD COMPANY
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CREDIT CARD COMPANY
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
CHILD SUPPORT/ OTHER CREDIT OWED
BALANCE OWED
MONTHLY PAYMENT
CREDITOR’S PHONE #
–
–
BANK ACCOUNT NAME OF BANK
BALANCE
MONTHLY PAYMENT
ACCOUNT NUMBER
EMERGENCY / PERSONAL REFERENCE INFORMATION EMERGENCY CONTACT
PHONE
RELATION
ADDRESS
EMERGENCY CONTACT
PHONE
RELATION
ADDRESS
PERSONAL REFERENCE
PHONE
RELATION
ADDRESS
PERSONAL REFERENCE
PHONE
RELATION
ADDRESS
_
_
❏ CELL ❏ HOME
PHONE
_
_
_
_
_
_
_
_
❏ HOME ❏ WORK
CITY/STATE/ZIP
_
_
❏ CELL ❏ HOME
PHONE
❏ HOME ❏ WORK
CITY/STATE/ZIP
_
_
❏ CELL ❏ HOME
PHONE
❏ HOME ❏ WORK
CITY/STATE/ZIP
_
_
❏ CELL ❏ HOME
PHONE
❏ HOME ❏ WORK
CITY/STATE/ZIP
APPLICANT QUESTIONNAIRE / AUTHORIZATION Has applicant ever been bankrupt?
❏ YES
❏ NO
Has applicant ever been brought to court by another landlord?
❏ YES
❏ NO
Has applicant ever been guilty of a felony?
❏ YES
❏ NO
Has applicant ever moved owing rent or damaged an apartment?
❏ YES
❏ NO
Has applicant ever broken a Lease?
❏ YES ❏ YES
❏ NO ❏ NO
Is the total move-in amount available now (rent and deposit)?
❏ YES
❏ NO
Would you like your screening result be e-mail to you?
E-mail:
I agree to pay a $40.00 NON-REFUNDABLE SCREENING FEE. I understand that I acquire no rights in an apartment until I sign this agreement and submit a holding fee of $_______________. Upon approval of tenancy and the signing of an apartment rental agreement, this fee will be credited against my deposit and/or my first month's rent. In consideration for landlord holding said apartment at Riverpointe Apartment Homes, I hereby waive all rights to the return of said holding fee and said fee shall be retained as liquidated damages in the event I do not chose to enter into the agreement between 72 hours. In the event said application for tenancy is not accepted, holding fee shall be returned to applicant. X ______________________________________________________________________________________________ ____________________________________ APPLICANT INITIAL'S
DATE
I am aware that an incomplete application causes a delay in processing and may result in denial of tenancy.
Pursuant to State and Federal Fair Credit Reporting Acts, this is to inform you that a consumer investigation involving statements made on this application is being initiated. This investigation may involve obtaining information regarding your character, general reputation, credit or mode of living and criminal background. You have the right to dispute the information reported. Upon written request, you are entitled to a complete and accurate disclosure of the investigation’s nature and scope as well as a written summary of your rights and remedies under the Fair Credit Reporting Act. I certify that to the best of my knowledge, all statements are true and complete. I authorize US Residential Group and its agents to obtain all reports and verifications necessary to verify all information put forth in the above application and to furnish all information to the landlord named above. False, fraudulent or misleading information may be grounds for denial of tenancy or subsequent eviction. The information sought is solely for use in evaluationof the named applicant's tenancy. X ______________________________________________________________________________________________
APPLICANT'S SIGNATURE
____________________________________
DATE
x_______________________________________________ AGENT SIGNATURE
_________________ DATE
NOTES:
Community: Riverpointe Apartment Homes
Phone: 509-946-3200
Fax: 509-946-0872 Email: [email protected]
