New Tenants

Property Information

Property Address Move-in Date Monthly Rent Security Deposit

Property Condition Applicant was referred to Landlord by:

Applicant Information

First Name Middle Name Last Name Home Phone Work Phone Mobile Number Email Social Security # Driver's License # Driver's License State Date of Birth

Height Weight Eye Color Hair Color Marital Status Citizenship Emergency Contact Name Emergency Contact Address Emergency Contact City/State/Zip Emergency Contact Phone Emergency Contact Email

Name all other persons who will occupy this property:

Occupant #1 Name Occupant #1 Relationship Occupant #1 Age

Occupant #2 Name Occupant #2 Relationship Occupant #2 Age

Occupant #3 Name Occupant #3 Relationship Occupant #3 Age

Occupant #4 Name Occupant #4 Relationship Occupant #4 Age

Applicant History

Applicant's Current Residence

Street Address City/State/Zipcode Landlord's Name Landlord's Email Landlord's Phone Landlord's Mobile Landlord's Fax Date Moved-In Move-Out Date Rent Reason for move

Applicant's Previous Residence

Street Address City/State/Zipcode Landlord's Name Landlord's Email Landlord's Phone Landlord's Mobile Landlord's Fax Date Moved-In Date Moved-Out Rent Reason for move

Applicant's Current Employer

Employer Street Address City/State/Zipcode Supervisor's Name Supervisor's Email Supervisor's Phone Supervisor's Fax Start Date Gross Monthly Income Position Other Income

Applicant's Previous Employer

Employer Street Address City/State/Zipcode Supervisor's Name Supervisor's Email Supervisor's Phone Supervisor's Fax Start Date Gross Monthly Income Position

If Applicant is self-employed, Landlord may require one or more previous year's tax return attested by a CPA, attorney, or other tax professional.

Other Information

List all vehicles to be parked on the property:

Vehicle Type #1 Vehicle Year #1 Vehicle Make #1 Vehicle Model #1 License/State #1 Monthly Payment #1

Vehicle Type #2 Vehicle Year #2 Vehicle Make #2 Vehicle Model #2 License/State #2 Monthly Payment #2

Vehicle Type #3 Vehicle Year #3 Vehicle Make #3 Vehicle Model #3 License/State #3 Monthly Payment #3

If any, list all pets to be kept on the property:

Pet Type #1 Pet Breed #1 Pet Name #1 Pet Color #1 Pet Weight #1 Pet Age #1 Pet Gender #1 Assistance Animal? Neutered? Declawed? Rabies Shots Current?

Pet Type #2 Pet Breed #2 Pet Name #2 Pet Color #2 Pet Weight #2 Pet Age #2 Pet Gender #2 Assistance Animal? Neutered? Declawed? Rabies Shots Current?

Pet Type #3 Pet Breed #3 Pet Name #3 Pet Color #3 Pet Weight #3 Pet Age #3 Pet Gender #3 Assistance Animal? Neutered? Declawed? Rabies Shots Current?

Pet Type #4 Pet Breed #4 Pet Name #4 Pet Color #4 Pet Weight #4 Pet Age #4 Pet Gender #4 Assistance Animal? Neutered? Declawed? Rabies Shots Current?

Will any waterbeds or water-filled furniture be on the Property? Does anyone who will occupy the Property smoke? Will Applicant maintain renter's insurance? Is Applicant or Applicant's spouse, even if separated, in military? If yes, is the military person serving under orders limiting the military person's stay to one year or less? Is any occupant a registered sex offender? Are there any criminal matters pending against any occupant? Has Applicant ever had any credit problems (including any outstanding debt (e.g., student loans or. medical bills)), slow-pays or delinquencies?

Has Applicant ever been evicted? Has Applicant ever been asked to move out by a landlord? Has Applicant ever breached a lease or rental agreement? Has Applicant ever filed for bankruptcy? Has Applicant ever lost property in a foreclosure? Has Applicant ever been convicted of a crime? Additional comments:

Authorization: Applicant authorizes Landlord and Landlord's agent, at any time before, during, or after any tenancy, to:

obtain a copy of Applicant's credit report;
obtain a criminal background check related to Applicant and any occupant; and
verify any rental or employment history or verify any other information related to this application with persons knowledgeable of such information.

Notice of Landlord's Right to Continue to Show the Property: Unless Landlord and Applicant enter into a separate written agreement otherwise, the Property remains on the market until a lease is signed by all parties and Landlord may continue to show the Property to other prospective tenants and accept another offer.

Privacy Policy: Landlord's agent or property manager maintains a privacy policy that is available upon request.

Fees: Applicant submits a non-refundable fee of $65.00 for single applicant or $85.00 for legally married couples to Gregory Property Management for processing and reviewing this application. We only accept cash or money orders. We do not accept credit cards or personal checks.

Acknowledgement & Representation:

Signing this application indicates that Applicant has had opportunity to review Landlord's tenant selection criteria. which is available upon request. The tenant selection criteria may include factors such as criminal history, credit history, current income and rental history.
Applicant understands that providing inaccurate or incomplete information is grounds for rejection of this application and forfeiture of any application fee and may be grounds to declare Applicant in breach of any lease the Applicant may sign.
Applicant represents that the statements in this application are true and complete.

NOTE: Upon submitting this application, you'll be presented with an Authorization to Release Information form which you must complete and signature.

Clear Signature Sign Above

Date

Property Information

Applicant Information

Applicant History

Other Information

Contact Us

Properties

Quick Links