Rental Application

Items marked with “*” are required.

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1. Must be 18 years of age to submit. Applicants under the age of 21 must have parent or guardian sign as guarantor.

2. This information is sought to assure the most responsible resident possible and to assist the management in case of emergencies. Your cooperation is appreciated. All blanks should be completed or application may not be considered at all.

3. The Application fee of $30.00 per adult must be paid at time of application via our secure payment server before your application will be processed. You will be presented with a link to our payment gateway upon completion of your application.

4. In the event that I fail to sign the lease after being accepted, THE SECURITY DEPOSIT IS THEREBY FORFEITED.

Property Details

Address of Desired Property

Desired date of occupancy

Special Consideration

Applicant Information

Last Name*

First Name*

Middle Initial*

Suffix

Social Security Number*

Date of Birth*

Gender Male Female

Driver License #*

State Issued

Marital Status* Single Married Separated Divorced Widowed

E-mail*

Home Phone

Cell Phone

Work Phone

Present Address

City

State

Zip

Do you currently own or rent?* Own Rent

Date you began living at current address?

Date you will be leaving current address?

Monthly Payment

Name of Landlord/Mortgage Company

Address of Landlord/Mortgage Company

Landlord/Mortgage Company Phone Number

Account #

Reason for moving

Present Employer

How long have you been employed here?

Employer's Address

Employer's Phone Number

Current Position

Current Monthly Income

Supervisor/Contact Person

Name of nearest relative not living with you

Relationship

Relative's address

Relative's Phone Number

Co-Applicant Information

Last Name

First Name

Middle Initial

Suffix

Relationship to applicant

Social Security Number

Date of Birth

Gender Male Female

Driver License #

State Issued

Home Phone

Cell Phone

Work Phone

Present Address

City

State

Zip

Do you currently own or rent? Own Rent

Date you began living at current address?

Date you will be leaving current address?

Monthly Payment

Name of Landlord/Mortgage Company

Address of Landlord/Mortgage Company

Phone Number of Landlord/Mortgage Company

Account #

Reason for moving?

Present Employer

How long have you been employed here?

Employer's Address

Employer's Phone Number

Current Position

Monthly Income

Supervisor/Contact Person

Name the nearest relative not living with you

Relationship to you

Address

Phone

Please list name, age, gender, and relationship of all persons to occupy the premises (including children, relatives, and other co-residents DO NOT list applicant and co-applicant)

(1) Name:

Age

Relationship

Gender

(2) Name

Age

Relationship

Gender Male Female

(3) Name

Age

Relationship

Gender

(4) Name

Age

Relationship

Gender Male Female

Do you have a pet? If yes, please complete the following. Yes No

Name of pet

Type

Age

Weight

Where do you normally keep your pet? Inside

Is your pet house trained? Yes No

Has your pet completed obedience training? Yes No

If so, when?

Name and location of obedience school

Has your pet ever damaged property? Yes No

If so, what was the estimated cost of damage?

Please describe the type of damage

Have you or your spouse/roommate ever been sued for non-payment of rent or damages to property?

If yes, when did this occur

If yes, please explain

Name of Landlord

Location of Rental

Have you or your spouse/roommate ever been arrested for violating any law? Yes No

If yes, please explain

Date of arrest

What type of violation? Misdemeanor Felony

Were you convicted? Yes No

Place arrested

What was the final disposition?

If more than one arrest, please describe

Have you or your spouse/roommate ever filed for bankruptcy? Yes No

If yes, which applicant filed? Primary applicant Co-applicant

If yes, please explain

Date filed

Date completed

Type of bankruptcy chapter 7 11 13 Other

Did you attend credit counseling? Yes No

If yes, what was the completion date?

Name of bank

City

State

Account # (for verification purposes only)

Name of Bank

City

State

Account # (for verification purposes only)

Name

Phone Number

Name

Phone Number

Name

Phone Number

APPLICANT AND CO-APPLICANT CERTIFICATION:

I (we) certify that the above information is true and correct, to the best of my (our) knowledge. I (we) understand that you (Seyfarth Investment Group, Inc.) will retain this application regardless of disposition (approved or disapproved). We both individually and collectively authorize you to verify information provided in this application, to include but not limited to requesting and receiving a credit report, employment, character, general reputation, and if deemed necessary, a criminal investigation. I (we) further understand approval of this application is based all or in part on the information contained herein. Should this application be approved and a lease contract executed, I (we) understand that this application is made part of the lease and if later, it is determined that any information provided herein was incorrect, said incorrect information shall be grounds for termination of the lease contract.

I (we) understand I (we) acquire no rights in property until (1) this application is approved and accepted; (2) a lease is signed by all parties and I (we) make the required security deposit; (3) I (we) pay all rent due in advance before occupancy; and (4) occupancy is given and accepted.

In the event that I fail to sign the lease after being accepted, THE SECURITY DEPOSIT IS THEREBY FORFEITED.

I/we certify that I/we have read and agree to the Applicant and Co-Applicant Certification above.*

PLEASE ALLOW A MINIMUM OF 7 DAYS TO PROCESS YOUR APPLICATION.

4 + 7 =*

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