Date
Property Address Unit Rent Amount Desired Date of Occupancy Referral Lease Term Name of Roommates Name of Co-Signer
FAILURE TO COMPLETE ALL SECTIONS AND SIGN (SELF & SPOUSE) WILL RESULT IN DELAY OR DENIAL OF THIS APPLICATION
Name: SSN: Date of Birth: Spouse: SSN: Date of Birth: Home Phone#: Work Phone#: Cell Phone #: Email: Email:
Number of Occupants: Children Ages In Case of Emergency, Notify: Phone#:
Pets? please select...noyes How Many: Pet Description: Pet Weight Pet Sex: malefemale Are Your Pets Fixed? yesno
How Did You Hear About Us?: please select...SignRealtorNewspaperDrive ByOther
1.) Own/Present Landlord/Complex Name: Your Previous Address: Apt.#: City,State,Zip: Landlord Phone#: Dates Rented / From: To: Rent Amount $
2.) Own/Present Landlord/Complex Name: Your Previous Address: Apt.#: City,State,Zip: Landlord Phone#: Dates Rented / From: To: Rent Amount $
1.) Name of Employer: Position: From: To: Address: Phone#: Income $ Per.
2.) Spouse Employer: Position: From: To: Address: Phone#: Income $ Per.
3.) Other Income: (Verification will be requested). Please list any SSI, Pension, Disability, Student Grants, Dividends, Etc. Name: Amount: Type of Income: Name: Amount: Type of Income: Name: Amount: Type of Income:
1.) Have you ever been evicted or asked to leave a property? noyes If yes, please explain:
2.) Have you ever filed for bankruptcy? noyes When? (Give the date and the year)
3.) Have you ever been convicted of a crime? noyes If yes, please explain:
4.) Number of cars: Make: Model: Year: Color: Make: Model: Year: Color: Make: Model: Year: Color:
5.) Driver's License #: Vehicle Plate #:
6.) Character Reference / Name: Phone #
FALSE STATEMENTS OR INCOMPLETE INFORMATION WILL BE GROUNDS FOR DENIAL OF THIS APPLICATION I/We hereby warrant, as the lease applicant(s), that all information is true and complete. I/We authorize the landlord and/or his agent to investigate my credit worthiness, and my personal, business, and banking references. I/We hereby agree that the inclusion of any false data shall constitute grounds for the rejection of this application along with the termination of the lease and the forfeiture of any deposits or earnest money. I/We hereby agree to pay $25.00 to T&L Property Management & Sales, a non-refundable fee to cover the cost of processing this application and to obtain credit report(s). It is my/our understanding that any additional applicants will pay an additional $25.00 per person. I/We acknowledge receipt of a copy of this application. The undersigned agrees this application and any information reports will remain the property of T&L Property Management & Sales.