POSITIVE PICTURE LD. Total # of Occupants _ IBR 2BR Apt. Shown __ Date Needed --Name
Birthdate
Age
Driver's Lic.#
_ _ _
Soc. Security #
1. / / --2. / / --3. / / --4. / / --5. / / --Phone # you can be reached at: Home: Cell: Current Address: -----------------------------Date in: Monthly rent $ Type of apt _ Manager name: Manager phone: ----------Did you give 30 day notice? Reason for moving: _ Previous Address: Date in: Date out Manager name: 1 you give ay notice',
Monthlyrent:$
Type of Apt.: Manager phone: eason or moving?
_ _ _
2 "Previousaddress: ----------------------------Date in: Date out_ยท Monthly rent $ Type of Apt.: Manager name: Manager phone: Did you give 30 day notice? Reason for moving?
Current Occupation: Date of hire : Your Supervisor Salary: $
Employer's name Employers Address: Employer's phone: Hourly/Week/Monthly/Year (Circle One)
Vehicles: I .Make Model ---Make Model 2. Do you have a motorcycle?
Yr. Yr.
Color --Color
Plate# ----Plate#
_ _ _ _ _ _
State State _
IN CASE OF EMERGENCY, (2) DIFFERENT RELATIVES TO BE NOTIFIED Name: Relationship Address: _ City: State: Zip Code: Phone: ( ) _ Name: Relationship Address: _ City: State: Zip Code: Phone: ( )---------
CREDIT INFORMATION Please check all that apply: _ I have declared bankruptcy. _ I have been sued for rent. I have been evicted or asked to move out. _ I have broken a rental agreement. _ I have been arrested for a felony or sex-related crime that was resolved by any method. _ I have been sued for property damage. Applicants represent that all the above statements are true and correct and hereby authorize verification of the above items including but not limited to the obtaining of a credit and/or criminal report. Applicant's signature Date _