Applicant's Full Legal Name: *
Date of Birth: *
(mm/dd/yy) Home Phone: *
Work Phone: *
Cell Phone: *
Email Address: *
How were you referred to Landings?: *
Residency Information
Present Street Address: *
Apt #: *
City: *
State: *
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Resident Dates: From-To: *
Do you own this home?: *
No Yes If No, What is your landlord's name.:
Landlord's Phone:
Previous Street Address (1):
Apt #:
City:
State:
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Resident Dates: From-To:
Did you own this home?:
No Yes If No, What is your landlord's name.:
Landlord's Phone:
Previous Street Address (2):
Apt #:
City:
State:
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Resident Dates: From-To:
Did you own this home?: *
No Yes If No, What is your landlord's name.:
Landlord's Phone:
If yes, what year?:
Have you ever filed for bankruptcy?: *
No Yes Have you ever been sued for damage to a rental property?: *
No Yes Current Rent Payment:
Have you ever been evicted and/or sued for non-payment of rent?: *
No Yes Did you owe rent to a previous landlord?: *
No Yes Employer's Street Address:
Employment Information
Current Employer (1): *
City:
State:
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Applicant's Position:
Dates (To-From):
Annual Gross Income:
Verification Contact Name:
Contact's Phone #:
Contact's Fax #:
Contact's Email Address:
Current Employer (2) - if applicable:
Employer's Street Address:
City:
State:
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Applicant's Position:
Dates (To-From):
Annual Gross Income:
Verification Contact Name:
Contact's Phone #:
Contact's Fax #:
Contact's Email Address:
Occupant Information (if applicable)
Other Occupant's Name: Co-applicant or Dependant (1):
Date of Birth:
(mm/dd/yy) Other Occupant's Name: Co-applicant or Dependant (2):
Date of Birth:
(mm/dd/yy) Other Occupant's Name: Co-applicant or Dependant (3):
Date of Birth:
(mm/dd/yy) Other Occupant's Name: Co-applicant or Dependant (4):
Date of Birth:
(mm/dd/yy) Other Occupant's Name: Co-applicant or Dependant (5):
Date of Birth:
(mm/dd/yy) Other Occupant's Name: Co-applicant or Dependant (6):
Date of Birth:
(mm/dd/yy) Other Occupant's Name: Co-applicant or Dependant (7):
Date of Birth:
(mm/dd/yy) Co-Signer / Guarantor:
Date of Birth:
(mm/dd/yy) Pet Information
Pet Type:
Breed:
(If mixed breed, list all breeds part of ancestry) Weight:
Pet Type:
Breed:
(If mixed breed, list all breeds part of ancestry) Weight:
Vehicle Information
Make:
Model:
Year:
Color:
License Plate # and Issuing State:
Driver's License # and Issuing State:
Make:
Model:
Year:
Color:
License Plate # and Issuing State:
Driver's License # and Issuing State:
Emergency Contacts
Emergency Contact's Name (1): *
Relationship to you: *
Emergency Contact's Address: *
Apt #: *
City: *
State: *
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Home Phone: *
Work Phone: *
Cell Phone: *
Email Address: *
Emergency Contact's Name (2):
Relationship to you:
Emergency Contact's Address:
Apt #:
City:
State:
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Home Phone:
Work Phone:
Cell Phone:
Email Address:
TERMS:
I understand that the Owner/Agent will collect a non-refundable application fee and a reservation fee as stated above. I also understand that I will have three days from the time and date of application to cancel this Rental Application. I understand that if I rescind my application after three days from the initial time and date of application, the entire balance on my account will be forfeited. I understand that this application is subject to acceptance or denial. If this application is denied the reservation fee will be returned to applicant. This application will be processed in accordance with the applicable property's Resident Screening Guidelines in effect on the date of application. I hereby authorize Owner/Agent to obtain consumer reports, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Owner/Agent, and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. Should any statement made in this rental application be a misrepresentation or untrue, the application will be denied immediately.
Resident Screening Guidelines:
By initialing below I agree to the Resident Screening Guidelines that are available here for review.
Rental Scoring & Your Rental Application:
By initialing below I agree to the Rental Scoring policies that are available here for review.Initials: *
Place your intials here if you agree with these above terms.
* indicates required information