2017 Rental Application and Verification Form

House Address:____________________________

House Size:
______________________________

Desired Move In Date:

_____________________

***All potential occupants over the age of 18 must fill out an application.
Each application requires a $50.00 nonrefundable processing fee***

Applicant __________________________________________________

Phone Number of applicant:____________________________________

*Copy of driver’s license is required for all potential lessees’.

*Copy of social security card is required for all potential lessees’.

Applicant

First Middle Birth Date Social Security Driver’s License# And

Last # State

Current Address City State Zip

Phone

Name of all other occupants under the age of 18:

Name Age Relationship

 Pets

List Pet Breed Pet Fee

Rental History

Previous Residence City State Zip

Previous Residence City State Zip

Most Recent Landlord Phone Current Rent Date of Date Lease

Lease Expires

● Reason for
leaving:______________________________________________________________________
__

● Did you give proper

notice?:______________________________________________________________________
__

● Were you asked to

move?:_______________________________________________________________________
_
 ● Have you ever been evicted?:
______________________________________________________

● Have you ever moved from a rental property prior to the expiration of your
lease or owing rent which is still not paid?:____________
Explain:_________________________________________
______________________________________________________________________________

EMPLOYMENT HISTORY

Current Employment Previous Employment

Employed By

Address

Job Title

Date Started

Supervisor’s Name

Phone

Monthly Gross Pay

Bank Information

Name of Bank Account Number Branch City and Phone

State
 Vehicle Information

Make Year Color Tag#

● Have you ever been served a late rent notice?:

______________________________________________________________________________

● Do any of the people who would be living in the apartment smoke?:

______________________________________________________________________________

● How long do you think you would be renting from us?:

______________________________________________________________________________

● Have you ever filed for bankruptcy? If so, when?:

______________________________________________________________________________

● Have you ever been convicted of a felony?:

______________________________________________________________________________

● Have you had any reoccurring problems with your current apartment or
landlord? If yes, please explain?:
_____________________________________________________________________________

● List any verifiable sources and amounts of income you wish to have
considered (optional):

● _____________________________________________________________________________

● We may run a credit check and a criminal background check. Is there

anything negative we will find that you want to comment on?:
______________________________________________________________________________

● ______________________________________________________________________________

● Do you have an e-mail address we can reach you at?:

______________________________________________________________________________

All occupants of the unit over the age of 18 must fill out an application. By
filling out an application for E&M Management Group, you are authorizing
a credit and/or criminal check to be made. You are also aware that all
statements that you answer are to be true and correct. I understand that
any discrepancy or lack of information may result in the rejection of this
application. I understand that this is an application for an apartment and
does not constitute a rental or lease agreement in whole or part. If your
application is accepted you acknowledge that all occupants over the age
of 18 must sign the lease and provide a copy of an id along with a social
security number. It is understood that this application is subject to
acceptance or rejection at the owner’s discretion. Any questions regarding
rejected applications must be submitted in writing and accompanied by a
self-addressed stamped envelope.

Signature: ______________________________________ Date:

_______________________________