Quick, Friendly & Superior Property Management

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 (requires Adobe Acrobat Reader readily

accesible at www.Adobe.com  )

Rental Address: ________________________________________________ Date _____________________­____

Rent Amount: ____________ Deposit:______________ Term of Lease:____________

Amount paid with  Application:______________

Applicant Information – all non-married adults must complete a separate application and pay separate fees.

MAIN APPLICANT:  incomplete information may cause the application to be rejected.

FULL AND COMPLETE NAME: ____________________________________________________________________________________________________________

Birth date _________________________ SS# ________________________Lic. # __________________________________________

SPOUSE: ________________________________ Birth date: ________________ SS#: _____________________

Lic# ______________________________________________

Automobiles: ______________________Year and Make _____________________________ Amount Owed $_____________________

Have you gone by any other names? ____ if yes, please list. ____________________________________________________________

Number of Occupants: _____________  Names and ages of children

__________________________________________________________________________________________________________________________________________________________ 

Emergency Contacts – must list two with addresses and phone numbers:

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________ 

Have you ever been evicted? _________ if yes, please explain: _________________________________________________________ 

Have you ever been convicted of a crime? ______________ Involving illegal drugs? ____________ Violence? _________

Sex? ___________ Please Explain: ________________________________________________________________________________

RENTAL HISTORY:  incomplete information may cause the application to be rejected.

Present Complete Address:

_______________________________________________________________________________________________ ZIP ___________

Home Phone # _________________ Cell Phone # ________________ E-Mail ________________________Current Rent: $ ___________

Start Date: ______________________ Reason for Moving: _____________________________________________________________

Current managers name and phone: _____________________________________________________________________________________________________________

Prior Complete Address: ______________________________________________________________________________________________ ZIP ___________ 

Landlord Name and Phone Number: ___________________________________________________________________________________

Moved in: __________ Moved out __________  Rent $___________ Reason for Moving _____________________________________ 

Previous Complete Address: _____________________________________________________________________________________________ ZIP ____________ 

Landlord Name and Phone Number: ___________________________________________________________________________________

Moved in: __________ Moved out __________  Rent $__________ Reason for Moving ______________________________________ 

EMPLOYMENT INFORMATION – all income must be verifiable and documented, including PA, SSI, child support, and financial aid.

Present employer: _________________________________ Address: __________________________ Phone: ____________________

Position: _____________________ Present Salary: ____________________ How to verify? ______________ 

Start Date: _______________

Previous employer: _________________________________________________________ How long?___________________________

Spouse Present employer: ____________________________ Address: _________________________Phone:____________________

Position: ______________________ Present Salary: ___________________ How to verify? ______________

Start Date: ______________

Previous employer: ____________________________________________________________How long? ________________________

Do you have any pets? _______________ What kind? ______________________Do you plan to get a pet? ______________________ 

Have you filed bankruptcy in the last ten years? __________ if yes, Reason:________________________________________________

_____________________________________________________________________________________________________________

CREDIT ACCOUNTS:

Company name: ___________________________________________ Balance: ___________________ Payment: _________________

Company name: __________________________________________ Balance: ___________________ Payment: _________________

Where do you bank? ________________________________ Chkg? ________ Svgs? ____________ Acct.# _____________________

I (WE) declare the information given on this application to be true and under penalty of perjury.  Applicant(s) hereby grant permission

to the owner/manager/agents to obtain credit reports and any other information necessary to verify all the information on this application. 

 I (we) agree that no other persons except those listed above will occupy the premises at any time without written permission and that

all adults residing on the premises will be jointly and severally liable for all rent, utilities and damages incurred during the term of

occupancy and/or lease, and that applicant(s) will not acquire any rights to this rental unit until a Residential Real Estate Lease

between the parties is signed and until all required funds (rent and deposit) are paid by the applicant(s). 

I (we) also understand that if I/we are approved but do not rent or occupy the premises and have paid any of the deposit

and/or rent amounts listed above, that the amount paid will not be returned but held as liquidated damages,

but if the application is not approved, any deposit and/or rent paid will be refunded within fourteen days of the date

of said disapproval. 

Applicant also agrees to pay a $20 non-refundable application fee.

Applicant signature: _______________________________________________________________ Date: ____________

Spouse signature: ________________________________________________________________ Date: ____________

Please add any additionjal information you feel is necessary.