RENTAL APPLICATION. Applicant Name: Home Phone:_( ) Address: Date of Birth: Social Security# - - Work Phone:_( )

Transcription

1 RENTAL APPLICATION TO BE COMPLETED BY APPLICANT: The undersigned hereby makes application to rent unit number located at Lofts beginning on,,at a Monthly rate of $ for months. Applicant Name: Home Phone:_( ) Address: Date of Birth: Social Security# - - Work Phone:_( ) Name of Co-Applicant: Home Phone:_( ) Address: Date of Birth: Social Security# - - Work Phone_( ) Relationship: Pets (Number, Breed & Weight): Name(s) & Age(s) of Co-Occupants: Current Address: City: State: Zip Code: Month & Year Moved In: Reason for Leaving: Owner or Agent: Phone:_( ) Current Monthly Rent/Mortgage: $ Previous Address: City: State: Zip Code: Month & Year Moved In: Reason for Leaving: Owner or Agent: Phone_( ) Current Monthly Rent/Mortgage: $ Employment Status: Full-Time Part-Time Student Retired Unemployed Your Monthly Gross Income: $ Co-Applicants Monthly Gross Income: $ Employer: Phone:_( ) Address: Position: Date Employed: Supervisor: Phone:_( )

2 If there are other sources of income you would like us to consider, please list income, source, and person (Banker, Employer, etc.) who we could contact for confirmation. You DO NOT have to reveal alimony or child support income unless you want us to consider it in this application. Source: Amount $ Address: Phone #: ( ) BANKING INFORMATION: Your Bank(s) City, State, Zip Type of Account Account No. MONTHLY OBLIGATIONS (Include Credit Cards, Mortgage, Auto & Student Loans, Child Support, Alimony, etc): Name of Creditor Address Account # Balance Owed Monthly Payment BANKING INFORMATION: Your Bank(s) City, State, Zip Type of Account Account No. DRIVER'S LICENSE INFORMATION: Name as Issued Number State Expiration Have You Ever: Filed for Bankruptcy? Yes No Details: Been evicted from Tenancy? Willfully or intentionally refused To pay rent when due? Are any of the prospective occupants smokers? Yes No In case of Personal Emergency, Notify: Address: Phone #: ( ) I/WE HEREBY DEPOSIT $ AS A RESERVATION DEPOSIT TO BE REFUNDED ONLY IF THIS APPLICATION IS NOT ACCEPTED. Upon acceptance of this application, this deposit shall be retained by the owner/management company of property until the completion of the lease and any subsequent renewals. If this application is not approved and accepted, the deposit will be refunded after ten (10) working days from the date of deposit. The applicant hereby waives any claim for damages for non-acceptance and understands that the owner/management may reject applicant without stating any reason for doing so. I/We understand that I/we must sign the lease documents within 72 hours of this offer of being accepted. I/We authorize that as a part of the application process, a screening company will prepare a consumer report which will contain a credit report, criminal history, employment and rental references to confirm that they meet our rental criteria. The $50.00 application fee is non-refundable. The information, to the best of my knowledge, is true and correct. X X Date: Date Received: Received By: Approved: Date:

3 DISCLOSURE This document serves solely as a clear and conspicuous written disclosure as required by the Federal Fair Credit Reporting Act set forth in Section 604 (b). This disclosure states to the Applicant that employment, education, social security, credit and a criminal background check may be obtained for the purposes of this Rental Unit Application only. By the signature below, the Applicant acknowledges that Cityworks has made this disclosure. Date this day of, Print Name (Last, First, Middle) Print Name (Last, First, Middle)

4 Employment Verification Please verify the following information as part of an approval process for rental housing employment for: Name of employee: Name of Employer: Address Of Employer: Length of employment: Current compensation: I hereby authorize Cityworks Realty to access this information for the purpose of completing my application for residency. Date Please return via fax to: Cityworks Realty Fax: Thank you.

5 LANDLORD VERIFICATION: To: Address: APPLICANT S SIGNATURE: _ Print Name: _ DATE: _ Lease Dates? Returned Checks? Is account in arrears? Number of late payments? How late? Would you rent to this applicant again? Additional Comments: : Title: 1006 Olive Street St. Louis, MO Phone: (314) Fax: (314)