Fill and Sign the Alaska Assignment 497293933 Form

APPLICATION FOR ASSIGNMENT OR SUB-LEASE This application is for (check one) : [ ] an assignment (current tenant(s) transfer all lease obligations to new tenant(s)), or [ ] a sub-lease (current tenant(s) remain responsible for obligations under lease, though sub-tenant(s) pay rent directly to landlord) List names of all current contractual Tenants for Leased Premises: ____________________________________, __________________________________, ____________________________________, __________________________________. Address/identification of Leased Premises proposed for: _______________________________________________________________________. Potential Assignees or Sub-Lessees to answer the following questions and sign below [use a separate Application for each potential assignee or sub-lessee intending to sign assignment or sub-lease]: Name: [first] _________________ [middle] ________________ [last] __________________ S.S.#: __________________________ Date of Birth: __________________________ Marital Status: ____________Spouse’s Name: _________________________________ Children: _______________________________________________________________ Who other than yourself will dwell in the premises: _____________________________ _______________________________________________________________________ Your current address: _____________________________________________________ How long at this address: ____________ Are you a U.S. citizen: [ ]Yes [ ]No Home Phone: ________________________ Work Phone: ________________________ Driver's License Number: _________________________ State:____________________ Place of Employment: _____________________________________________________ Employer’s Mailing Address: _______________________________________________ Your Supervisor: _________________________ Your Occupation: ________________________ Your Job Title: ___________________ Work Hours: ____________________________ Pay Dates:_______________________ Monthly Take Home Pay: __________________ How long at this job: ______________ Other sources of income and amounts: ________________________________________ Do you intend to reside here indefinitely? If not, for how long? ____________________ Application for Assignment or Sub-lease, page 1 Have you ever filed Bankruptcy? [ ]Yes [ ]No - If Yes, where and when, and who was your attorney? ________________________________________________________________________ ________________________________________________________________________ Are you currently a party to any lawsuit pending in court? [ ]Yes [ ]No - If Yes, give name and number of case, type of case, court in which pending, your involvement in the case, the nature and amount of relief sought by all parties, and the name of your attorney: ________________________________________________________________________ ________________________________________________________________________ Are you subject to a judgment by any court? [ ]Yes [ ]No - If Yes, describe judgment: ________________________________________________________________________ List three (3) persons as references: Name: _______________________ Address: _____________________________ Phone: _____________ Name: _______________________ Address: _____________________________ Phone: _____________ Name: _______________________ Address: _____________________________ Phone: _____________ By your signature hereon, you agree that the information disclosed by you herein is true, complete and accurate to the best of your knowledge, and you agree that the information disclosed by you herein is material to the potential Lessor’s decision with respect to granting or denying your application for assignment or sub-lease. Signed: ______________________________________ Date: ____________________ Print Name: __________________________________ Application for Assignment or Sub-lease, page 2