Applicant

Last Name

First Name

Middle Name

Maiden Name

Date of Birth

Social Security #

Driver's License #/State

Marital Status

Present Phone No.

9:00 to 5:00 Contact Phone No.

Ext.

Email Address

Have you ever had an eviction filed against you?

Yes

No

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Do you have any pets?

Breed

Age

Weight

---

Present Address

Street #

Street Name

Apartment #

City

State

Zip

Rent/Mortgage Payment $

Own or Rent?

Own

Rent

From

To

---

Landlord/Mtg Co.

Name

Address

City

City

Zip

Phone No.

---

Previous Address

Street #

Street Name

Apartment #

City

State

Zip

Rent/Mortgage Payment $

Own or Rent?

Own

Rent

From

To

---

Previous Landlord/Mtg Co.

Name

Address

City

City

Zip

Phone No.

---

Have you or any occupants ever been arrested for, convicted of, put on probation for, or had adjudication withheld or deferred for a felony offense?

Yes

No

If yes, please explain

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Present Employer

Name

Business Address

City

City

Phone No.

Position

Supervisor's Name

Monthly Income

From

To

---

Previous Employer

Name

Business Address

City

City

Phone No.

Position

Supervisor's Name

Monthly Income

From

To

---

Emergency Contact

Name

Full Address

Phone No.

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Automobile | 1st Car

Year

Make

Model

Model

Tag #

---

Automobile | 2nd Car

Year

Make

Model

Model

Tag #

---

Children Occupying

Name

Age

Name

Age

Name

Age

---

Bank Ref

Name

Location

City

State

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Rental Application Agreement | Please read carefully before submitting your application

Applicant represents that all of the statements and representations provided are true and complete. Applicant hereby authorizes verification of the above information, references, and credit records. Applicant understands that an investigative consumer report, including information about character, credit history, general reputation, personal characteristics, mode of living, and all public record information including criminal records, may be conducted.

Applicant agrees that providing any false, misleading, or misrepresented information may result in the application being rejected, voiding any lease/rental agreement if already signed, and/or grounds for immediate eviction with loss of all deposits and any other penalties provided by the lease terms. Applicant authorizes verification of all information by the Landlord and/or Management Company.

Applicant has the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigation.

Non-Refundable Application Fee

An application fee will be due to the Landlord and/or Management Company the sum of $50.00 as a non-refundable application fee to cover costs, expenses, and processing fees associated with the application. This fee is non-refundable regardless of the application outcome.

Apartment Deposit Agreement

An apartment deposit will be due in consideration for taking the dwelling off the market while the application is being processed.

If the applicant is approved and a lease is signed, the apartment deposit will be applied toward the security/damage deposit.

If the applicant is not approved, the apartment deposit will be fully refunded.

Lease and Move-In Conditions

Keys will be furnished only after lease and other rental documents have been properly executed by all parties and only after applicable rentals and security deposits have been paid.

This application is preliminary only and does not guarantee that a particular unit will be available. The submission of this application does not obligate the Landlord or Management Company to execute a lease or deliver possession of the premises.

By submitting this application I am giving Northgate Terrace 1 Apts permission to run a background check on me, which may include obtaining my credit report from a consumer reporting agency.

BY SUBMITTING THIS APPLICATION, I AM GIVING NORTHGATE TERRACE 1 APTS PERMISSIONS TO VERIFY THE ABOVE INFORMATION, REFERENCES, AND CREDIT RECORDS.

I HAVE READ AND AGREE TO THE PROVISIONS AS STATED

Submit