Lorem Ipsum Dolor 2012 WELCOME TO OUR APPLICATION PAGE

Tenant Application

 Eagle Creek Tenant Application

APPLICANT INFORMATION:

Name (full name):

________________________________________________________

Social Security Number: __ __ __ - __ __ - __ __ __ __ DOB: ____ / ____ /

____

Your Lincoln Phone:  ___________________________

Parents PHONE       ___________________________

YOUR Work Phone:     _______________________

Your E-Mail Address   

_____________________________________________________

Your Driver's License / ID Number: _________________________ State:

______________

Your Declared Major        

___________________________________________________

How Many Years of College until Graduation  

____________________________________

What College do you Attend   

________________________________________________

APPLICANT VEHICLE(S):

Make: ______________________ Model: _______________________ Year:

________

Make: ______________________ Model: _______________________ Year:

________

APPLICANT EMPLOYMENT HISTORY:

Current Employer:  

Name and Address:

_______________________________________________________

Phone:      ___________________________

Supervisor: ____________________________ Supervisor Phone:

___________________

Length of Employment: Begin ______________ Still employed? (Check one)

___ yes ___ no

Previous Employer(s):

Name and Address:

_______________________________________________________

Phone:        _ ___________________________

Supervisor: ____________________________ Supervisor Phone:

___________________

Length of Employment: Begin ______________  End     

____________________________

Name and Address:

_______________________________________________________

Phone:         ___________________________

Supervisor: ____________________________ Supervisor Phone:

___________________

Length of Employment: Begin ______________  End    

____________________________

RENTAL HISTORY:

Current Address:

_________________________________________________________

Dates Lived at This Address: From ________________    To

_______________________

Reason for leaving:

_______________________________________________________

Landlord/Manager: _____________________ Landlord/Manager's Phone:

____________

Previous Address:

________________________________________________________

Dates Lived at This Address: From ________________     To  

______________________

Reason for leaving:

_______________________________________________________

Landlord/Manager: _____________________ Landlord/Manager's Phone:

____________

Previous Address:

________________________________________________________

Dates Lived at This Address: From ________________     To

_______________________

Reason for leaving:

________________________________________________________

Landlord/Manager: _____________________ Landlord/Manager's Phone:

_____________

APPLICANT INCOME:

Gross Monthly Employment Income Before Deductions:

$__________________________

Gross Monthly Income From Other Sources (average):  

$__________________________

TOTAL GROSS MONTHLY INCOME:                               

$__________________________

APPLICANT CREDIT and FINANCIAL INFORMATION:

Bank and Financial Accounts DON’T NEED ACCT#S

Checking:

Institution Name ______________________ Branch ______________ Acct #

______________

Savings:

Institution Name ______________________ Branch ______________ Acct #

_______________

Other (Money Market, etc):

Institution Name ______________________ Branch ______________ Acct #

_______________

Credit Accounts    WE DON’T NEED ACCT #S

Credit Card: Type _______ Creditor ___________________________ Acct #

_________________

Amt Owed $_______________ Monthly Payment $______________

Credit Card: Type _______ Creditor ___________________________ Acct #

_________________

Amt Owed $_______________ Monthly Payment $______________

Loans: (mortgage, student loan, car, etc.)

Type ____________ Creditor ___________________________ Acct #

______________________

Amt Owed $_______________ Monthly Payment $______________

Type ____________ Creditor ___________________________ Acct #

______________________

Amt Owed $_______________ Monthly Payment $______________

Other: Type ____________ Creditor ___________________________ Acct #

________________

Amt Owed $_______________ Monthly Payment $______________

MISCELLANEOUS: (Check appropriate answer)

Do you have pets? _____ yes _____ no    If so, describe

__________________________________

Do you smoke? _____ yes      _____ no

Do you plan to have water filled furniture on the rental property? _____ yes

_____ no   If yes, explain below.

Have you ever been evicted? _____ yes _____ no    If yes, explain below.

Have you ever been convicted of a felony? _____ yes _____ no     If yes,

explain below.

Have you ever filed for bankruptcy? _____ yes _____ no    If yes, explain

below.

Explanation:

_______________________________________________________________

_______

_______________________________________________________________

_________________

_______________________________________________________________

_________________

APPLICANT PERSONAL REFERENCES:

Name: ________________________________________ Relationship:

_______________________

Address: __________________________________________ Phone:

________________________

Known this reference how long? _______________________

Name: ________________________________________ Relationship:

_______________________

Address: __________________________________________ Phone:

________________________

Known this reference how long? _______________________

APPLICANT EMERGENCY CONTACT INFORMATION:

Contact in Emergency (Name): ______________________________

Relationship: _______________

Emergency Contact Address:

_________________________________________________________

Phone: _____________________________________

I hereby certify and affirm that all information provided above is true and

correct. I fully understand that my lease or rental agreement may be terminated

if I have made any false, misleading or incomplete statement in this application.

I hereby authorize verification of all information provided in this application,

including financial and credit information, via credit bureaus and/or contact with

current and previous employers, current and previous landlords and personal

references.

___________________________________________

____________________________

APPLICANT DATE

Print, Fill out ( as completely as possible for each roommate) and Sent to:

Chuck Earley

5219 Garland St.

Lincoln, Ne. 68504

     COMTN