Fill and Sign the Lease Apartment Rent Form

Application to Lease an Apartment with Payment of First Month's Rent as Deposit Date: ________________ 1. Applicant applies to rent premises generally described as (description of premises) ____________________________________________________________________________ for a term of ___________________ (date) and ending _________________ (date) , for which monthly rental shall be $____________, payable in advance, and for which a security deposit of $____________ shall be due prior to occupancy of the above-described premises. 2. A deposit of $____________ is made with this Application on account of the first month's rent, with the understanding that if this Application is accepted and the Applicant fails to execute a lease before the beginning date specified above, or to pay the balance due as first month's rent, the deposit will be forfeited as liquidated damages. It is also understood that if this Application is not accepted or if the premises are not ready for occupancy by the Applicant on the date specified above, the deposit shall be refunded to the applicant immediately upon applicant's request. 3. Applicant  Name: ______________________ (Name of Applicant)  SS #: ___________________  Driver's License #: _________________ State: ________________ (Name of State)  Present Address: ________________________________________________________ (current address of tenant)  How long at current address? _____________  Previous Address: _______________________________________________________ How Long? ___________  Married: ______ (yes or no)  Spouse's Name: ___________________________________________  Children? ______ (yes or no) How Many? __________Ages? _____________________  Pets? ______ (yes or no) What Kind? (description of pets) _____________________ _______________________________________________ How Many? _____________ 4. Applicant’s Employment  Employer: ___________________________ (Name of Employer)  Employer Address: ______________________________________________________ (Address of Employer)  Supervisor: _______________________ (name of supervisor)  Business Phone: ___________________  How Long on Present Job? ___________________________  Annual Income: $__________________________ 5. Spouse’s Employment  Employer: _________________________________ (Name of Employer of Spouse)  Employer Address: ______________________________________________________ (Address of Employer)  Supervisor: _________________________ (Name of Supervisor of Spouse)  Business Phone: ___________________  How Long on Present Job? ___________________________  Annual Income: $__________________________ 6. References  Bank: _______________________________ (name of bank)  Phone: _______________________ (telephone number of bank)  Personal Reference: __________________________ (name of personal reference)  Phone: _____________________ (telephone number of personal reference)  Credit Reference: _____________________________ (name of first credit reference)  Phone: _______________________ (telephone number of first credit reference)  Credit Reference: ________________________ (name of second credit reference)  Phone: ______________________ (telephone number of second credit reference) 7. The information provided in this Application may be used by the Landlord to determine whether to accept this Application. Upon written request within _____ (number) days, the Landlord or will disclose to Applicant in writing the nature and scope of any investigation Landlord has requested and will, if this Application is refused, state in writing the reason for such refusal. Accepted____________ Refused____________