NOTE: Rental Application Requirements – Please provide complete information for all Landlord and Work references. If your income is less than 3 times the rent, you will need a cosigner who is a home owner with good credit. Lack of this information will delay processing.

Date of Application: ______Desired Move-in Date ______

Month / Day / Year Month / Day / Year

Address of unit you are applying for: ______

Applicant’s Full Name: ______

Social Security No. ______- ______- ______Birth Date: ______

Month / Day / Year

Current Telephone No. (______) ______- ______Other/Fax No. (______) ______- ______

Current Cell Phone No. (______) ______-______Email Address______

Co-Applicant’s Full Name: ______

Social Security No. ______- ______- ______Birth Date: ______

Month / Day / Year

Current Telephone No. (______) ______-______Other/Fax No. (______) ______-______

Current Cell Phone No. (______) ______-______Email Address______

Current Address: ______

(Applicant) City State Zip

Length of time at current address: ______Rent Amount: $______Years Months

Current Landlord: ______Tel. No. (______) ______- ______

(Applicant) Name

Reason for Moving: ______

Previous Address: ______

(Applicant) City State Zip

Length of time at previous address: ______Rent Amount: $______Years Months

Previous Landlord: ______Tel. No. (______) ______- ______(Applicant) Name

Reason for Moving: ______

Current Address: ______

(Co-Applicant) City State Zip

Length of time at current address: ______Rent Amount: $______Years Month

Current Landlord: ______Tel. No. (______) ______- ______

(Co-Applicant) Name

Reason for Moving: ______

Previous Address: ______

(Co-Applicant) City State Zip

Length of time at previous address: ______Rent Amount: $______Years Months

Previous Landlord: ______Tel. No. (______) ______- ______(Co-Applicant) Name

Reason for Moving: ______

FINANCIAL RECORD

**Current Status: Employed Full-time _____ Part-time _____/ Retired _____/ Student _____/

Sources of income: ______

Applicant’s Employer: ______

Employer Address: ______

City State Zip

Telephone No. (______) ______- ______Supervisor: ______

Name

Length of time employed: ______Position: ______Income: $______

Years / Months Weekly/Monthly

**Current Status: Employed Full-time _____ Part-time _____/ Retired _____/ Student _____/

Sources of income: ______

Co-Applicant’s Employer: ______

Employer Address: ______

City State Zip

Telephone No. (______) ______- ______Supervisor: ______

Name

Length of time employed: ______Position: ______Income: $______

Years / Months Weekly/Monthly

List all persons that will occupy this residence: ______

______

Bank Name & Branch: ______

Other Credit References: (Vehicle Loans, Charge Cards, etc.):

1) ______

2) ______

3) ______

4) ______

Do you have any pets? Yes ____ / No ____ if so, what kind and how many: ______

______

Vehicle Year/Make/Model: ______Lic.#: ______State: ______

Vehicle Year/Make/Model: ______Lic.#: ______State: ______

Applicants Drivers Lic. No. ______Expire Date: ______

Co-Applicants Drivers Lic. No. ______Expire Date: ______

Emergency Notify/Contact: ______

Name Address Phone No.

AUTHORIZATION

Please read carefully before signing. The information provided will be used to determine your eligibility to qualify for a rental unit. By signing this application you are authorizing permission for Investors Management Service IMS to verify all information listed and allow obtaining a current credit report from any credit reporting agency as needed to confirm credit status. If you have any questions, please make inquiry prior to signing this application.

Applicant: ______

Signature Date

Co-Applicant: ______

Signature Date