DATE _______________
PROPERTY ADDRESS _________________________________________________________*
NAME: ___________________________________________*
PHONE: _________________________
EMAIL __________________________
CELL PHONE ____________________________________*
SOCIAL SECURITY NUMBER ______________________
DATE OF BIRTH _________________________
DRIVERS LICENSE NUMBER ______________________
EXPIRATION DATE _______________________
AUTO LICENSE NUMBER ________________________
MAKE AND MODEL ________________________
STATE OF REGISTRY ___________________________
COLOR _______________________________
OTHER APPLICANTS: ________________________________________________________________
******************************************************************************
RENTAL HISTORY
CURRENT ADDRESS: ________________________________*
HOW LONG _______________________
CURRENT OWNER/MANAGER: ________________________*
PHONE: ___________________________*
REASONFORLEAVING: ____________________________________________________________
PREVIOUS ADDRESS : ________________________________ *
HOW LONG ______________________
OWNER/MANAGER: __________________________________
PHONE: _________________________*
***********************************************************************
STUDENTS ONLY
GROUP NAME/ROOMMATES NAME: ___________________________________________
PARENTS NAME: ___________________________
PHONE: __________________________________
PARENT'S ADDRESS: _________________________________________________
COLLEGE ATTENDING: ______________________________________________________
CURRENT YEAR IN COLLEGE? (circle one) FRESHMAN SOPHOMORE JUNIOR SENIOR*
IF YOU HAVE ROOMMATES, THEN EACH ROOMMATE MUST FILL OUT A SEPARATE APPLICATION
***********************************************************************
EMPLOYMENT INFORMATION
PRESENT EMPLOYER: ___________________________
LENGTH OF EMPLOYMENT _______________________
EMPLOYER'S ADDRESS _________________________
PHONE _______________________________________
CURRENT SALARY ________________ PER _____________
LOANS/GRANTS ____________________________
TOTALMONTHLYINCOME(INCLUDINGPARENTALSUPPORT)_______________________________
HAVE YOU EVER BEEN EVICTED? ………………………………......................................................YES NO
HAVE YOU EVER RECEIVED A "3 DAY NOTICE "?……………................................................YES NO
HAVE YOU EVER HAD AN ACCOUNT PLACED IN COLLECTION.............................................YES NO
FOR FAILURE TO MAKE PAYMENTS ON TIME?…….......................................................YES NO
HAVE YOU EVER FILED FOR BANKRUPTCY?……….................................…......................YES NO
HAVE YOU EVER BEEN GIVEN A " 30 DAY NOTICE"?….................................................YES NO
HAVE YOU EVER BEEN CONVICTED OR PLEADED NO CONTEST TO A FELONY?…............................. YES NO
IF YOU ANSWERED "YES" TO ANY OF THE ABOVE QUESTIONS, PLEASE PROVIDE AN EXPLANATION ON A SEPARATE PAGE.
ARE YOU OR YOUR ROOMMATES SMOKERS?…………..................................YES NO
DO YOU OWN WATER – FILLED FURNITURE (WATERBED) .........................YES NO
DO YOU OWN A PET?………………………………………….......................................YES NO
IF YOU OWN A PET PLEASE DESCRIBE THE ANIMAL _________________________________________________
IF YOU ARE ACCEPTED FOR ONE OUR RENTALS PLEASE PROVIDE US WITH EMERGENCY INFO.
IN CASE OF EMERGENCY, PLEASE NOTIFY: ________________________________________________________
APPLICANT REPRESENTS THAT ALL OF THE ABOVE STATEMENTS ARE TRUE, ACCURATE AND COMPLETE. APPLICANT HEREBY AUTHORIZES VERIFICATION OF THE ABOVE INFORMATION, INCLUDING BUT NOT LIMITED TO OBTAINING A CREDIT REPORT. APPLICANT AGREES TO FURNISH ADDITIONAL CREDIT REFERENCES UPON REQUEST. FARRELL SMYTH CAN OBTAIN A CREDIT REPORT ON BEHALF OF APPLICANT FOR A FEE OF $25. APPLICANT UNDERSTANDS THAT THE LANDLORD MAY TERMINATE ANY RENTAL AGREEMENT ENTERED INTO FOR ANY MISREPRESENTATION OF THE INFORMATION ABOVE. THE APPLICANT'S SIGNATURE BELOW AUTHORIZES FARRELL SMYTH, INC. TO VERIFY ABOVE STATED INFORMATION.
ACCEPTANCE OF APPLICATION DOES NOT IMPLY APPROVAL THEREOF. IF YOU ARE A STUDENT OR RECEIVE MONIES FROM A PARENT OR RELATIVE, A GUARANTY OF LEASE AGREEMENT (ADDENDUM B) WILL BE REQUIRED. IF THIS APPLICATION IS APPROVED, YOUR NOTARIZED GUARANTY OF LEASE AGREEMENT AND FULL SECURITY DEPOSIT ARE DUE WITHIN 72 HOURS.
_________________________________________________________
SIGNATURE IS REQUIRED FOR PROCESSING
NOTES TO APPLICANTS ___ Initials*
IF THIS APPLICATION IS ACCEPTED, FARRELL SMYTH, INC. WILL DO A THOROUGH BACKGROUND CHECK.
APPLICANT IS RESPONSIBLE FOR ENSURING THAT ALL REQUIRED PAPERWORK IS COMPLETE PRIOR TO OCCUPANCY.
POSSESSION OF A RENTAL UNIT WILL NOT BE GRANTED UNTIL ALL PAPERWORK IS COMPLETE. |