Lease ApplicationEach occupant and co-applicant 18 years or older must submit a separate application. Name - Lessee 1 * First Name Last Name Current Phone Number * (###) ### #### Email Current Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth * MM DD YYYY Drivers License No. Marital Status Citizenship (country) Is there a co-applicant? If yes, co-applicant must submit a separate application. yes no Name all other persons who will occupy the Property: (name, relationship, age) Rental Property Information Rental Property Requested Property Type Single Family Duplex Accessible Duplex Anticipated Move-In Date How long do you intend to reside here? * 1-6 Months 1 Year 1-3 Years 3+ Years Unknown Employment Information Place of Employment * Supervisor's Name * Supervisor's Phone Number * Monthly Earnings * Position Describe other income Applicant wants considered: Will any pets (dogs, cats, birds, reptiles, fish, and other pets) be kept on the Property? yes no If yes, list all pets to be kept on the Property: Landlord 1 Name First Name Last Name Landlord 1 Phone (###) ### #### Landlord 2 Name First Name Last Name Landlord 2 Phone (###) ### #### Financial Information Monthly Debt Payments List all items $ Amount Have you ever filed for bankruptcy? Yes No Have you ever been convicted, plead guilty, no contest, received probation, deferred adjudication, court-ordered supervision, or pre-trial diversion for a felony, sex-related crime, or misdemeanor? Yes No Does anyone who will occupy the Property smoke? yes no Will Applicant maintain renter's insurance? yes no Is Applicant or Applicant's spouse, even if separated, in military? If yes, is the military person serving under orders limiting the military person's stay to one year or less? Yes No Under orders of one year or less Additional comments: Thank you!
