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APARTMENTS RENTAL APPLICATION

APPLICANT
INFORMATION

Name:
Social Security Number: - -   Birth Date:
Driver’s License: # State of Issue:
Phone: Email:
Have you gone by any other names ? Yes No If Yes, please list
Race/Ethnicity (may choose not to disclose): Married: Yes No
Co-Applicants: + Add more
First Name: Last Name: - Remove
First Name: Last Name: - Remove
Other Occupants – Please list any minor children who will be residing in the unit:
Automobile Make: Model: Year: License Number:
Emergency Contact: Relationship: Phone Number:
Permission for Emergency contact to enter in emergency: Yes No  

CRIMINAL CRITERIA

PLEASE SELECT THE APPROPRIATE ANSWER ON THE FOLLOWING QUESTIONS:

Applicant: Have you ever been convicted of a crime? Yes No
Do you have any pending or outstanding warrants or charges? Yes No
Other occupant(s): Have you ever been convicted of a crime? Yes No
Do you have any pending or outstanding warrants or charges? Yes No

IF ANY OCCUPANT ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, THE FOLLOWING MUST BE COMPLETED:

1) What, specifically, were you charged with?
2) Was it a felony or misdemeanor?
3) What Class: A, B or C?
4)  How did you plea?
5) What was your exact conviction/sentencing or parole date, whichever is later?

RESIDENCE
HISTORY

IT IS THE APPLICANT'S RESPONSIBILITY TO ENSURE ALL INFORMATION IS CORRECT AND COMPLETE. MISSING OR INCOMPLETE INFORMATION IS GROUNDS FOR REJECTION. WE MUST HAVE TWO (2) YEARS OF CONSECUTIVE RENTAL HISTORY DISCLOSED.

CURRENT ADDRESS
Street Number
Name
Apt#
City
State
Zip Code

Select one of the following:

If Rented, amount of Rent Paid: $
Moved In:
Moved Out:
Reason for leaving:

Landlord’s Information:

Name:

PREVIOUS ADDRESS
Street Number
Name
Apt#
City
State
Zip Code

Select one of the following:

If Rented, amount of Rent Paid: $
Moved In:
Moved Out:
Reason for leaving:

Landlord’s Information:

Name:

FORMER ADDRESS
Street Number
Name
Apt#
City
State
Zip Code

Select one of the following:

If Rented, amount of Rent Paid: $
Moved In:
Moved Out:
Reason for leaving:

Landlord’s Information:

Name:

EMPLOYMENT
INFORMATION

EMPLOYMENT HISTORY MUST BE COMPLETE AND ACCURATE IN ORDER TO VERIFY INCOME. PLEASE LIST PHONE NUMBER OF PERSON TO VERIFY EMPLOYMENT. PRESENT EMPLOYER PHYSICAL ADDRESS REQUIRED.

PRESENT EMPLOYER

Name of Company or Employer
Phone#:
Position:
Gross Monthly Earnings: $
Start Date:

PREVIOUS EMPLOYER

Name of Company or Employer
Phone#:
Position:
Gross Monthly Earnings: $
Start Date:

FORMER EMPLOYER

Name of Company or Employer
Phone#:
Position:
Gross Monthly Earnings: $
Start Date:
Other Monthly Income: $ Source:How to verify:

MISCELLANEOUS
INFORMATION

Do you have any pets or do you intend to get any pets?
Type: Breed: Color:
Size: Age: Name:

Have you ever been evicted or do you currently owe a landlord money?
If yes, when: Amount $

Have you filed for bankruptcy within the past 10 years?
If yes, we will need the Discharge or Dismissed papers (whichever applicable).

Are you now or will you be in the next year a Full Time Student?
If yes, number of credit hours:

I (we) declare the information given on this application to be true under penalty of perjury. Applicants hereby grant permission to the Owner/Manager and/or agents and A.P.M. Inc. to obtain credit reports and any other information necessary to verify all information on this application. I (we) agree that no other person or persons except the above named will occupy the subject premises at any time without the written consent of the Manager. I (we) further agree that all adults residing in the premises are jointly and severally liable for all rent and damage incurred during the term of occupancy. I (we) understand I (we) acquire no rights to this rental unit until an agreement is signed in the form submitted to me, and a security deposit of $ is paid. All adult tenants must sign the Rental Agreement. I (we) also understand that if I (we) do not rent and have paid a security deposit, $ will be withheld from the deposit for liquidating damages. If Management declines to accept this application, and I (we) have paid the security deposit, it will be refunded in full. Applicant(s) agrees to pay a Non-Refundable application processing fee of $ . By typing your name below, you agree to the terms and conditions above.

Applicant’s Signature: Date:



American Property Management, Inc.

Criminal Criteria Addendum

 

By typing my name below, I have read and understand the

Criminal Criteria under American Property Management, Inc. policies

I am in complete understanding that American Property Management,

Inc. may, at its discretion terminate my lease if at any future date it has been

determined that I have violated the Criminal Criteria, intentionally or unintentionally.

 

                    
(Please Type Name)(Date)






AUTHORIZATION

 

By typing my name below, I/do hereby authorize APMI and its

staff or authorized representative to contact any employers, financial institutions, agencies, local police departments, offices, groups or other organizations to obtain and verify any information or materials which are deemed necessary to determine my eligibility for housing in programs administered/managed.

 


Applicant Signature

Date




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