Rental Application - Lenox Properties

RENTAL PROPERTY ADDRESS

Street Address

City

State

ZIP / Postal Code

PRIMARY APPLICANT INFORMATION

First Name *

Middle Name

Last Name *

Social Security Number *

DOB *

Home Phone

Mobile Phone *

Email *

Drivers License/ID Number *

State *

NAME OF ADDITIONAL OCCUPANTS & RELATIONSHIP TO PRIMARY APPLICANT

Name

Relationship

Name

Relationship

Name

Relationship

Name

Relationship

APPLICANT/OCCUPANT VEHICLE(S)

Make

Model

Year

Tag#

Make

Model

Year

Tag#

Make

Model

Year

Tag#

EMPLOYMENT HISTORY

Currrent Employer Name *

Employer Street Address *

City *

State *

ZIP / Postal Code *

Supervisor/HR Name *

Phone *

Length of Employment

Still Employed?YesNo

Previous Employer Name

Employer Street Address

City

State

ZIP / Postal Code

Supervisor/HR Name

Phone

Length of Employment

End Date

RENTAL HISTORY

Current Street Address *

City *

State *

ZIP / Postal Code *

Dates Lived at This Address

From

To

Reason for Leaving

Landlord/Manager

Landlord/Manager's Phone

Landlord/Manager's Email

Previous Street Address

City

State

ZIP / Postal Code

Dates Lived at This Address

From

To

Reason for Leaving

Landlord/Manager

Landlord/Manager's Phone

Landlord/Manager's Email

INCOME

NET Monthly Employment Income Before Deductions *

NET Monthly Income From Other Sources (Average)

Total NET Monthly Income

$

MISCELLANEOUS

Do You Have Pets?YesNo

If Yes, Describe

Note: Not all properties are pet friendly. If pet(s) approved, a non-refundable pet fee will be required. Specific rules and regulations regarding pets will apply.

Do You Have a Service Animal or Emotional Support Animal?YesNo

If Yes, Describe

Note: When a reasonable accommodation request for housing is submitted for a service or therapy animal, we will validate document authenticity for tenant approval.

Do You Smoke?YesNo

Have You Ever Been Evicted? (If yes, explain below)YesNo

Do You Have Any Judgements on Your Record? (If yes, explain below)YesNo

Have You Ever Been Convicted of a Felony? (If yes, explain below)YesNo

Have You Ever Filed For a Bankruptcy? (If yes, explain below)YesNo

Explanation

APPLICANT PERSONAL REFERENCES

Reference #1 Name

Relationship

Reference #1 Street Address

City

State

ZIP / Postal Code

Reference #1 Phone

How Long Have You Known This Reference?

Reference #2 Name

Relationship

Reference #2 Street Address

City

State

ZIP / Postal Code

Reference #2 Phone

How Long Have You Known This Reference?

Reference #3 Name

Relationship

Reference #3 Street Address

City

State

ZIP / Postal Code

Reference #3 Phone

How Long Have You Known This Reference?

APPLICANT EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

Relationship

Emergency Contact Street Address

City

State

ZIP / Postal Code

Phone *

Email

CO-APPLICANT INFORMATION
If you don't have a co-applicant, you can skip to page 12 (finish)

First Name

Middle Name

Last Name

Social Secrity Number

DOB

Home Phone

Mobile Phone

Email

Drivers License/ID Number

State

EMPLOYMENT HISTORY

Current Employer Name

Employer Street Address

City

State

ZIP / Postal Code

Supervisor/HR

Phone

Length of Employment

Still Employed?YesNo

Previous Employer Name

Employer Street Address

City

State

ZIP / Postal Code

Supervisor/HR

Phone

Length of Employment

End Date

RENTAL HISTORY

Current Street Address

City

State

ZIP / Postal Code

Dates Lived at This Address

From

To

Reason For Leaving

Landlord/Manager

Landlord/Manager's Phone

Landlord/Manager's Email

Previous Street Address

City

State

ZIP / Postal Code

Dates Lived at This Address

From

To

Reason For Leaving

Landlord/Manager

Landlord/Manager's Phone

Landlord/Manager's Email

INCOME

Net Monthly Employment Income Before Deductions

Net Monthly Income From Other Sources (Average)

Total NET Monthly Income

$

MISCELLANEOUS

Do You Have Pets?YesNo

If Yes, Describe

Note: Not all properties are pet friendly. If pet(s) approved, a non-refundable pet fee will be required. Specific rules and regulations regarding pets will apply.

Do You Have a Service/Therapy Animal?YesNo

If Yes, Describe

Note: When a reasonable accommodation request for housing is submitted for a service or therapy animal, we will validate document authenticity for tenant approval.

Do You Smoke?YesNo

Have You Ever Been Evicted? (If yes, explain below)YesNo

Do You Have Any Judgements on Record? (If yes, explain below)YesNo

Have You Ever Been Convicted of a Felony? (If yes, explain below)YesNo

Have You Ever Filed For Bankruptcy? (If yes, explain below)YesNo

Explanation

CO-APPLICANT PERSONAL REFERENCES

Reference #1 Name

Relationship

Reference #1 Street Address

City

State

ZIP / Postal Code

Reference #1 Phone

How Long Have You Known This Reference?

Reference #2 Name

Relationship

Reference #2 Street Address

City

State

ZIP / Postal Code

Reference #2 Phone

How Long Have You Known This Reference?

Reference #3 Name

Relationship

Reference #3 Street Address

City

State

ZIP / Postal Code

Reference #3 Phone

How Long Have You Known This Reference?

CO-APPLICANT EMERGENCY CONTACT INFORMATION

Emergency Contact Name

Relationship

Emergency Contact Street Address

City

State

ZIP / Postal Code

Phone

Email

AGREEMENT

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(s) 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's Name

Today's Date

Co-Applicant's Name

Today's Date