Property Details - Apartment Rentals

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Notice: All adult applicants (18 years or older) must complete a separate application for rental.

APARTMENT

RENT *

START DATE *

AGENT/REFERRED BY *

APPLICANT INFORMATION

LAST NAME *

FIRST NAME *

M.I *

SSN *

DRIVER'S LICENSE #

CONTACT INFORMATION

Personal Email *

Personal Phone *

CURRENT ADDRESS

STREET ADDRESS *

CITY *

STATE *

ZIP *

DATE IN *

DATE OUT *

LANDLORD NAME *

LANDLORD PHONE *

MONTHLY RENT ($)

REASON FOR LEAVING

PREVIOUS ADDRESS

STREET ADDRESS

CITY

STATE STATE

ZIP

DATE IN

DATE OUT

LANDLORD NAME

LANDLORD PHONE

MONTHLY RENT ($)

REASON FOR LEAVING

OTHER OCCUPANTS

LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR OLDER

LIST NAMES AND BIRTH DATES OF ALL ADDITIONAL OCCUPANTS 18 YEARS OR YOUNGER

PETS

No Pets Allowed, No Pets Allowed

EMPLOYMENT & INCOME INFORMATION

1. OCCUPATION *

EMPLOYER/COMPANY *

MONTHLY SALARY ($) *

SUPERVISOR NAME *

SUPERVISOR PHONE *

START DATE *

END DATE *

2. OCCUPATION

EMPLOYER/COMPANY

MONTHLY SALARY ($)

SUPERVISOR NAME

SUPERVISOR PHONE

START DATE

END DATE

1. OTHER INCOME DISCRIPTION

MONTHLY SALARY ($)

2. OTHER INCOME DISCRIPTION

MONTHLY SALARY ($)

EMERGENCY CONTACT

1. NAME *

ADDRESS *

PHONE *

RELATIONSHIP *

2. NAME *

ADDRESS *

PHONE *

RELATIONSHIP *

BACKGROUND INFORMATION

HAVE YOU EVER

Filed for banckruptcy? *

Willfully or intentionally refused to pay rent when due? *

Been evicted from a tenancy or left owing money? If yes, please provide Property Name, City, State and Landlord Name. *

Yes

If Yes.

Been convicted of a crime? If yes, please provide Type of Offense, Country, and State. *

Yes

If Yes.

OTHER INFORMATION

HOW DID YOU HEAR ABOUT THIS PROPERTY? *

PLEASE INCLUDE ANY OTHER INFORMATION YOU BELIEVE WOULD HELP TO EVALUATE THIS APPLICATION *

I/we, the undersigned, authorize On-Site.com, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search, landlord/tenant court record search, criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This investigation is for resident screening purposes only, and is strictly confidential. This report contains information compiled from sourses believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold On-Site.com, Landlord and its agents free and harmless of any damages arising out of any improper use o this information.

Important information about your rights under the Fair Credit reporting Act:

- You have a right to request disclosure of the nature and scope of the investigation.
- You must be told if information in your file has been used against you.
- You have a right to know what is in your file, and this disclosure may be free.
- You have the right to ask for a credit score(there may be a fee for this service).
- You have the right to dispute incomplete or inaccurate information. Consumer reporting agencies must correct inaccuratem incomplete, or unverifitable information.

These reports are being processed by On-Site.com, P.O. Box 1514, Los Altos, CA 94023-1514, (877) 222-0384.

A summary of your rights under the Fair Credit Reporting Act is available by visiting or writing (Para information en espanol, visite o escribe): http://www.ftc.gov.credit

Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvanie Avenue N.W., Washington D.C 20580

Signed/Applicant

Clear

Confirm Signature

Date

APPLICATION FOR RENTAL

APPLICANT INFORMATION

CONTACT INFORMATION

CURRENT ADDRESS

PREVIOUS ADDRESS

OTHER OCCUPANTS

PETS

EMPLOYMENT & INCOME INFORMATION

EMERGENCY CONTACT

BACKGROUND INFORMATION

OTHER INFORMATION

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