LMK Properties Rental Application

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The undersigned hereby agrees to rent unit or apartment #

located at .

Requested move-in date:

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Your Email:

A Password:

Personal Information

Full name:

Home Phone:

(XXX)XXX-XXXX

Date of Birth:

MM/DD/YYYY

Social Security Number:

E-mail Address:

Other phone:

(XXX)XXX-XXXX

Co-Applicant Name:

Names of Dependents:

Co-Applicant Date of Birth:

MM/DD/YYYY

Social Security Number:

Dependents Date(s) of Birth:

List all Pets:

Bank name :

Type of Account:

Account Number:

Bank name (second account):

Type of Account:

Account Number:

Residential History

Current Address:

Apt #:

City:

State:

Zip:

Date you moved in:

MM/YYYY

Reasons for Leaving:

Rent $:

Owner/Agent:

Phone:

Previous Address (within last two years):

Rent $:

Owner/Agent:

Phone:

Credit History

Have you declared bankruptcy in the last seven years?
YesNo

Have you ever been evicted from a rental residence?YesNo

Have you had two or more late rental payments in the past year? Yes No

Have you ever willfully or intentionally refused to pay rent when due?YesNo

Employment Information

Your Status:Full-timePart-timeStudentUnemployed

Employer:

Employed From:

MM/DD/YYYY

To:

MM/DD/YYYY

Employed as:

Supervisor Name:

Phone:

(XXX-XXX-XXXX)

Salary:

per

If employed less than 12 months, give name and phone of previous employer or school:

If you have other sources of income that you would like us to consider, please list income, source, and person whom we may contact for this information. You are not required to reveal alimony, child support, or spouse's annual income unless you want us to consider it in this application.

Amnount $ / Source or Contact Name

Personal References

Name of Personal Reference or Emergency Contact:

Additional Information

Phone:

(XXX)XXX-XXXX

Relationship:

Driver's License Number:

State:

Vehicle Make/Model:

Year:

License Plate State:

Additional Information:

Please give any additional information that might help the property manager evaluate this application:

Where may we reach you to discuss this application?
Day phone:

(XXX)XXX-XXXX

Night Phone:

(XXX)XXX-XXXX

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application. I hereby deposit $

as earnest money to be refunded to me if this application is not accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit. When so approved and accepted, I agree to execute a lease for

months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason off non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. The above information, to the best of my knowledge, is true and correct.

Please sign:

Type your name here. You will be asked to sign a copy of this application at a later time.

Date:

Authorization (Release of Information)

I agree to permit an investigation of my credit, tenant history, banking and employment for the purpose of renting an apartment with this owner/manager.
Name:

Name

Date:

MM/DD/YYYY

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