GRAVES BROTHERS OF INDIANA, LLP
RENTAL APPLICATION
PROPERTY ADRESS: ______
DATE OF APPLICATION:______MOVE IN DATE______
PURCHASE PRICE $______DOWN PAYMENT______MONTHY RENT______
APPLICANT'S NAME ______
Home phone # ______Work Phone#______Cell phone#______
S.S. # ______Driver’s License#______State ______
Present Address: ______
NAMES AND SOCIAL SECURITY NUMBERS OF ALL OTHERS TO OCCUPY THIS UNIT:
Name: ______Social Security Number:______
Name: ______Social Security Number:______
Name: ______Social Security Number:______
Name: ______Social Security Number:______
APPLICANT'S PRESENT LANDLORD: ______
______
AddressCityStateZip
Phone# ______Dates Of Occupancy ______Rent Amount $______
Reason For Moving ______
PRESENT EMPLOYER______(Company Name)
______
Address
Phone# ______Monthly Take-Home Pay $______**
Supervisor______
Your Start Date: ______Your Job Title:______
SALARY____HOURLY____WEEKLY____BI-WEEKLY____MONTHLY____
** Photocopy of last 2 paychecks
PREVIOUS EMPLOYER______(Company Name)
______
Address
Phone#______Monthly Take-Home Pay $______
Supervisor:______
Dates of Employment:______Reason no longer employed______there:______
OTHER INCOME (DESCRIBE)______
Bank Accounts______[ ] CHECKING
Bank Name and LocationAccount #[ ] SAVINGS
Account balance $______
Bank Accounts______[ ] CHECKING
Bank Name and LocationAccount #[ ] SAVINGS
Account balance $______
Credit Reference______
Creditor name and LocationAccount #Phone #
Credit Reference______
Creditor name and LocationAccount #Phone #
GUARANTORS______
NameAddressPhone #
Social Security number______
Employer______Take home pay $______**
GUARANTORS______
NameAddressPhone #
Social Security number______
Employer______Take home pay______**
** Photocopy of last 2 paychecks
PET(S) Number ______Weight(S) ______Age(S) ______Housebroken [ ] Yes [ ] No
Type/Breed(S)______
AUTOMOBILES OWNED:Any co-owners?______
Year______Make______Model______Color______
VIN #______License#______State______
Lienholders______
Year______Make______Model______Color______
VIN #______License#______State______
Lienholders______
Other Vehicles: [ ] Trailers [ ] Boats [ ] Campers [ ] Vans [ ] M/Cycles
Details______
PERSONAL REFERENCE ______
NamePhone#
Address______
PERSONAL REFERENCE ______
NamePhone#
Address______
LOCAL FRIEND ______
NamePhone#
Address______
LOCAL FRIEND ______
NamePhone#
Address______
Address
MOTHER’S NAME ______
NamePhone#
Address______
Employer______
NamePhone #
FATHER’S NAME ______
NamePhone#
Address______
Employer______
NamePhone #
DOES APPLICANT HAVE DOWNPAYMENT NOW ? Yes____ No____
DOES APPLICANT HAVE FIRST MONTHS RENT NOW ? Yes____ No____
HAS APPLICANT OR ANY OTHER CO-APPLICANT OR PROPOSED RESIDENT:
Filed for Bankruptcy? [ ] Yes [ ] No When?______Resolution______
Been evicted from tenancy? [ ] Yes [ ] No
Have criminal record? [ ] Yes [ ] No Details______
Willfully or intentionally refused to pay rent when due? [ ] Yes [ ] No
APPLICATION DEPOSIT: Applicant herewith deposits $______[Cash] [Money Order] [Personal Check number______. This application will not be processed for approval until the application deposit has been paid and any personal check has cleared.
This application is made for the purpose of inducing ______(Landlord) to let to the Applicant, and all other Applicants, if appropriate, the premises located at ______. Applicant hereby authorizes Landlord to verify any and all parts of this application, authorizes all previous employers, landlords, credit references, and personal references to substantiate the above information, and releases all such persons from any and all liability for such disclosure.
Applicant herewith requests a possession date of ______, 20___ and agrees that if this Application shall be approved on or before ______, 20___, Applicant will execute Landlord's Residential Lease, a copy of which is available for was given to Applicant , will pay a security deposit of $______and the first month's rent of $______, and will accept possession of the leased premises.
In the event that this Application shall be denied by reason of lack of sufficient creditworthiness on the part of Tenant, Landlord shall have the right to retain from Tenant's application deposit an amount equal to Landlord's cost of the credit report and other verifications of the terms of the representations contained in this Application. OPTION: If this Application is approved and Applicant shall execute Landlord's Lease, then Landlord shall apply the full amount of the application deposit to the security deposit described in the Lease. If this Application is approved and Tenant shall fail to execute Landlord's Lease, accept possession, or pay all amounts due under the Lease, then Landlord shall have the right to retain all of the Application Deposit as liquidated damages for breach by Tenant of this Application.
Applicant has contacted the Guarantor(s) and each Guarantor has assured Applicant that he or she will guaranty all of the obligations of Applicant under the proposed Lease.
______
Signature of ApplicantDate
______
Signature of ApplicantDate
______
Signature of ApplicantDate
______
Signature of GuarantorDate
______
Signature of GuarantorDate
*WHEN COMPLETED, PLEASE FAX APPLICATION TO 317-889-5731
FOR OFFICE USE ONLY
UNIT ADDRESS______
DATE APP. SUBMITTED______APPLICATION FEE $______
DATE APPROVED______APPROVED BY______
DATE REJECTED______REJECTED BY______
REASON______
DATE AND TIME APPLICANT WAS INFORMED______
ADVERTISED MONTHLY RENT$______ADVERTISED SECURITY DEPOSIT$______
PET CHGS $______OTHER CHGS $______REMARKS______
* WAS LEASED OFFERED UNDER TERMS DIFFERENT THAN ADVERTISED TERMS?______REASON______
[ ] Copy Picture I.D. [ ] Recent Pay Stub [ ] Applicant's W2's [ ] Tax Returns [ ] Income Verification
[ ] Present Landlord [ ] Prior Landlord [ ] Guarantor(s) [ ] Personal Reference [ ] Expected Move-in Date [ ] Move-in Date______, 20___
* WAS A CREDIT REPORT/TENANT SCREENING SERVICE USED? ______IF SO, WHEN WAS ADVERSE ACTION NOTICE SENT TO TENANT?______