Which Property Are you Applying to rent?
I understand that unless otherwise stated the prices listed are for 12 month+ leases and that some rooms may offer leases with shorter lengths and different terms if I am interested in them
What lease term are you applying for?
Advertisement Code (If Applicable)
How did you originally hear about this room for rent?
Last Name
First Name
Date of Birth
Drivers License #
State Your Drivers License was Issued in
Email Address
Home Phone #
Work Phone #
Alternate Phone #
Present Address
City
State
Zip Code
Date Moved In to the above address
Date Moved Out of the above address
Name of your Current Landlord
Current Landlord Phone #
Rent (Per Month) $
Reason for Leaving
Previous Address (The one before your present address)
Name of your Previous Landlord
Previous Landlord Phone #
Previous Address Rent (per month) $
Date Moved Into your Previous Address
Date Moved out of your Previous Address
Reason for Moving Out of your Previous Address
Present Occupation
Employer Name
How long have you worked here?
Name of your Supervisor
Supervisor Phone #
Employer Address
Current Gross Monthly Income (if income is earned from additional sources other than that listed above, please indicate that as well)
Prior Occupation
Prior Employer Name
How long did you work here?
Name of your supervisor
Prior employer address
List All Financial Obligations (Creditors name, Address, Phone #, Monthly Payment)
Please provide 3 non-related Personal References (Name, Address, Phone #, Years Known, and Occupation)
What date would you like to move in?
How long do you plan to stay in the space you will be renting
Do you have any allergies to animals? If so, which ones?
Do you have any pets or animals?
If Yes, what type?
Do you drink alcoholic beverages?
How do you feel about alcohol?
Do you smoke?
How do you feel about smoking?
Do you vape?
How do you feel about vaping?
What kind of place are you looking for? What features are important to you?
Is your income verifiable? (paycheck stubs, etc)
If approved, will you be able to pay all move-in costs at the time of the move-in? This includes first month rent and the full deposit.
If you move in, rent is collected electronically. Do you have a checking account that can be used to pay rent?
We run a credit check on all applicants. Is your credit good?
If not, please explain your situation
If you have been convicted of a crime in the past, what was the crime, date of the crime, and date of the conviction?
Since the age of 18, what states have you lived in?
How many cars or other vehicles do you plan to keep at the property?
What is the license plate, make, and model of each vehicle?
Does your vehicle currently leak any fluids?
Do you plan to keep a water bed, aquarium, water cooler, fountain, or other water feature in the residence?
Do you have a piano or other musical instrument?
Do you maintain a clean and uncluttered home? How do you maintain that?
To help provide a clean and uncluttered home a chore chart with weekly assignments is posted in the kitchen. Failure to clean your assigned chore during the week results in a $10 fee which is used toward professional cleaning services. How do you feel about this. (This does not pertain to 5256 W 3830 S)
What are your thoughts about the peace and quiet of a home? What do you do to achieve that?
Have you ever filed bankruptcy?
Have you ever been evicted?
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