Residential Rental Application

($20.00 fee)

FOR OFFICE USE ONLY Date _______ Agent ____________________________________

Property Address  ___________________________ Unit # ________ Rent/Dep. $ ________

TO THE APPLICANT: We sincerely thank you for your application. Please help us to promptly process this application by clearly completing all of the required information.

Desired Move-In Date _________________Desired Lease Length______________________

Type and Size of Unit Wanted (No. of Bedrooms, etc.) ________________________________

How Did You Hear About Our Property? ___________________________________________

PERSONAL INFORMATION

Applicant’s Full Name ______________________________________ Date of Birth ________

Social Security No. ________________ Driver’s License No. & State____________________

Full Names of All Other Resident                               Relationship to You                 Date Of Birth

__________________________                                _______________                  ___________

__________________________                                _______________                  ___________

__________________________                                _______________                  ___________

RESIDENCE HISTORY

PRESENT ADDRESS__________________________________________________________

Current Telephone__________________________   Cell:_____________________________

 Present Address/Date From _______To _______

            Present Landlord or Mortgage Co. _____________________Telephone ____________

            Monthly Payment $ ________ Reason for Moving ______________________________

PREVIOUS ADDRESS _________________________________________________________

            At Previous Address/Date from ____________________ to ______________________

            Previous Landlord or Mortgage Co. ____________________ Telephone ____________

            Monthly Payment $ ________ Reason for Moving ______________________________

EMPLOYMENT INFORMATION

PRESENT STATUS:

�� Employed Full-Time       �� Part–Time            �� Not Employed            �� Retired              �� Student

PRESENT EMPLOYER (or most recent) _________________________________________________

Employer’s Address ____________________________________________________________

Telephone_______________ Dates Employed/from ______________ to _________________

Position Held__________________________ Department _____________________________

Supervisor ___________________________Gross Monthly Income $ ___________________

PREVIOUS EMPLOYER________________________________________________________

Previous Employer’s Address____________________________ Telephone_______________

Supervisor__________________________ Dates Employed/From __________ to _________

IF STUDENT, LIST SCHOOL ________________________ School Telephone_____________

Present Grade Level_________________ Expected Date of Graduation __________________

CO-APPLICANT INFORMATION

Co-Applicant’s Full Name _______________________________Date of Birth______________

Social Security Number__________________ Driver’s License No. & State________________

CO-APPLICANT’S EMPLOYMENT:

z Employed Full-Time     z Part –Time              z Not Employed       z Retired         z Student

CO-APPLICANT’S EMPLOYER (or most recent) ____________________________________

Employer’s Address ___________________________________________________________

Telephone________________________ Dates Employed/from: __________ to: ___________

Position Held_______________ Supervisor ____________ Gross Monthly Income $ ________

CO-APPLICANT’S PREVIOUS EMPLOYER________________________________________

Previous Employer’s Address____________________________________________________

Telephone________________________ Dates Employed/from: __________ to: __________

Position Held_______________ Supervisor _____________ Gross Monthly Income $ _______

CO-APPLICANT’S PRESENT ADDRESS __________________________________________

Telephone_____________________ at Present Address/Date from _________to _________

Present Landlord or Mortgage Co. ______________________Telephone _________________

Monthly Payment $ _______ Reason for Moving_____________________________________

CO-APPLICANT’S PREVIOUS ADDRESS _________________________________________

At Previous Address/Date from _____________________ to __________________________

Previous Landlord or Mortgage Co. _________________________Telephone ______________

Monthly Payment $ _______ Reason for Moving______________________________________

OTHER INFORMATION

TOTAL NUMBER OF VEHICLES (Including Company Vehicles) _________________________

Make/Model _____________ Year ______ Color ___________ Tag No. /State______________

Make/Model _____________ Year ______ Color ___________ Tag No. /State______________

Other Car, Motorcycle, etc._______________________________________________________

HOW MANY PETS DO YOU OR OTHER OCCUPANTS OWN? _________________________

Kind of Pet, Breed, Weight, and Age _______________________________________________

HAVE YOU OR CO-APPLICANT EVER: Been sued for non-payment of rent?      Yes    No

Been evicted or asked to move out?     Yes    No      Broken a Rental Agreement or Lease?    Yes      No      Been Sued for Damage to Rental Property?        Yes    No      Declared Bankruptcy?    Yes        No

Comments/Explanation _________________________________________________________

IN CASE OF EMERGENCY

Notify________________________________ Relationship ____________________________

Address_____________________________________________________________________

Home Phone _______________________________Work Phone _______________________

Cell Phone _________________________________

AUTHORIZATION

PLEASE READ CAREFULLY BEFORE SIGNING:

Tenant understands Crown Realty and Property Management, Inc. will hold said property for a period of 5 days with receipt of the full deposit amount. Should tenant fail to start paying rent by the 6th day, or as otherwise agreed, the deposit amount shall become forfeited at the option of the Owner or his/her agent. In the event tenant withdraws application after approval, the full deposit shall be forfeited. If application is not accepted, deposit will be refunded in full.

In considering this application from you, management will rely heavily on the information which you have supplied. It is important that the information be accurate and complete. By signing this application, you represent and warrant the accuracy of the information, and you authorize management to verify any references that you have listed. In addition, you authorize management to obtain a consumer credit report. A credit check will appear on your consumer credit report as an inquiry.

Signed __________________________________________ Date _______________________

Signed ___________________________________________ Date ______________________

APPLICANT: DO NOT WRITE BELOW THIS LINE. THIS SECTION IS FOR MANAGEMENT USE ONLY.

DISPOSITION OF APPLICATION

�� Approved     �� Not Approved      By _____________________ Date _______________

IF NOT APPROVED, INDICATE REASON(S) WHY: 

�� Unfavorable Credit Report                        �� Unfavorable Employment Reference

�� Unfavorable Report from Landlord          �� Size or Number of Pets

�� Other (Specify): ____________________________________________________________